Provider Demographics
NPI:1083792121
Name:OMARI, DORINA (MD)
Entity Type:Individual
Prefix:
First Name:DORINA
Middle Name:
Last Name:OMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DORINA
Other - Middle Name:
Other - Last Name:HAJNAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 166 D
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-712-3360
Mailing Address - Fax:978-712-3392
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 166 D
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-712-3360
Practice Address - Fax:978-712-3392
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230046207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine