Provider Demographics
NPI:1750404596
Name:CARIN, DOROTHY ALONSO (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ALONSO
Last Name:CARIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:55 REYNOLDS RD
Mailing Address - Street 2:BOX 159
Mailing Address - City:BROOKS
Mailing Address - State:ME
Mailing Address - Zip Code:04921-3637
Mailing Address - Country:US
Mailing Address - Phone:207-722-3488
Mailing Address - Fax:207-722-3183
Practice Address - Street 1:55 REYNOLDS RD
Practice Address - Street 2:BOX 159
Practice Address - City:BROOKS
Practice Address - State:ME
Practice Address - Zip Code:04921-3637
Practice Address - Country:US
Practice Address - Phone:207-722-3488
Practice Address - Fax:207-722-3183
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2015-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK4395207Q00000X
CAA63012207Q00000X
ORMD28132207Q00000X
MEMD20261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR142646Medicare PIN