Provider Demographics
NPI:1215928973
Name:DORUNDA, JOHN WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:DORUNDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 WAHOO AVENUE
Mailing Address - Street 2:NBHC GROTON
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349-5600
Mailing Address - Country:US
Mailing Address - Phone:860-694-4123
Mailing Address - Fax:860-694-1330
Practice Address - Street 1:1 WAHOO AVE
Practice Address - Street 2:NBHC GROTON
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-2324
Practice Address - Country:US
Practice Address - Phone:860-694-4123
Practice Address - Fax:860-694-1330
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2025-01-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101222938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine