Provider Demographics
NPI:1043721632
Name:KLAASSEN, DORIANN (MD)
Entity type:Individual
Prefix:
First Name:DORIANN
Middle Name:
Last Name:KLAASSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DORIANN
Other - Middle Name:
Other - Last Name:GONZALEZ-RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1030 FALMOUTH RD # 201
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2324
Mailing Address - Country:US
Mailing Address - Phone:774-470-5080
Mailing Address - Fax:
Practice Address - Street 1:1030 FALMOUTH RD # 201
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2324
Practice Address - Country:US
Practice Address - Phone:774-470-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1020815207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism