Provider Demographics
NPI:1548223696
Name:DORAN, JAMES WILLIAM JR (ATC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WILLIAM
Last Name:DORAN
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 BUCKLAND HILLS DR
Mailing Address - Street 2:26111
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-9100
Mailing Address - Country:US
Mailing Address - Phone:860-630-0688
Mailing Address - Fax:
Practice Address - Street 1:2095 HILLSIDE RD
Practice Address - Street 2:UNIT 3078
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-3078
Practice Address - Country:US
Practice Address - Phone:860-486-0481
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist