License holder summary

Philip R Dormitzer is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Philip R Dormitzer is South Shore Hospitalist Group, 55 Fogg Road, Box 97, Weymouth 02190. This licensed professional license is current. The license was granted 06/12/1996 and expired on 07/16/2017.

Massachusetts

Division of Professional Licensure

Philip R Dormitzer
Board Of Registration In Medicine
License number
151131
Date granted
06/12/1996
Date expires
07/16/2017
Class
Board Of Registration In Medicine
Status
Active
Address
South Shore Hospitalist Group, 55 Fogg Road, Box 97
licensingma.org
ID 41423688
LAST UPDATED 2024-04-28 07:29:49 UTC

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