Provider Demographics
NPI:1417778911
Name:DOROCI, DILIN WILLIAM
Entity type:Individual
Prefix:
First Name:DILIN
Middle Name:WILLIAM
Last Name:DOROCI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2703
Mailing Address - Country:US
Mailing Address - Phone:978-317-3632
Mailing Address - Fax:
Practice Address - Street 1:4 COLLINS AVE SUITE 201-A
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3755
Practice Address - Country:US
Practice Address - Phone:774-221-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN10007653163W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse