IndividualActive
Jeffery Dormu, D.O.
NPI 1366430316 · Vascular Surgery Physician · Laurel, MD
Provider details
- NPI number
- 1366430316
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB07611900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8730 Cherry Lane
Suite 10
Laurel, MD 20707
Phone: (301) 497-1590
Fax: (240) 334-4781
Approximate (ZIP-level) locationGet directions
Mailing address
8730 Cherry Lane
Laurel, MD 20707
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.