Individual ProviderJames DoranInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, Cb2041, New Haven, CT 06510-3220(203) 688-4748PECOS EnrollmentBased on the most recent information from CMS, provider James Doran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1437682481Provider TypeIndividualFull NameDoran, JamesTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/6/2017Last Updated8/10/2023Contact InformationPractice LocationPractice Address20 York St, Cb2041, New Haven, CT 06510-3220Phone(203) 688-4748Fax(203) 688-4740Mailing LocationMailing Address20 York St, Cb2041, New Haven, CT 06510-3220Phone(203) 688-4748Fax(203) 688-4740Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense75533ConnecticutCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD89778MarylandCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer