Jacob, Dexter Doromal
Jacob, Dexter Doromal is an individual health care provider with primary practice located at 609 W Germantown Pike Ste 120 , East Norriton PA 19403-4243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jacob, Dexter Doromal can be contacted via phone (610) 279-1370.Contact Information
Primary practice address
609 W Germantown Pike Ste 120
East Norriton PA 19403-4243
Phone: (610) 279-1370
Fax: (610) 279-1372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD459805 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD459805 | Pennsylvania |
Profile Details
| NPI number | 1306112644 |
|---|---|
| LBN Legal business name | Jacob, Dexter Doromal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2012 |
| Last updated | Jul 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306112644 | NPPES |
| Pennsylvania | MEDICAID | 1037689880003 |
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