Provider Demographics
NPI:1427299973
Name:ZERFAS, DORENE KAY (MD)
Entity type:Individual
Prefix:DR
First Name:DORENE
Middle Name:KAY
Last Name:ZERFAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:901 LINCOLNWAY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3430
Mailing Address - Country:US
Mailing Address - Phone:219-362-8523
Mailing Address - Fax:219-324-9396
Practice Address - Street 1:901 LINCOLNWAY
Practice Address - Street 2:SUITE 304
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3430
Practice Address - Country:US
Practice Address - Phone:219-362-8523
Practice Address - Fax:219-324-9396
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY270530208600000X
IN01076316A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery