NPI 1083955785
John Dormevil
Practice location
- Address
- 111 South St, Somerville, MA 02143-4297
- Phone
- (617) 284-5130
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1083955785
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2013
- Record last updated
- 6 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.