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Individual
DR. MICHAEL GORN
Active
Individual
DR. MICHAEL GORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q1616
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
25MA08378700
NJ
208000000X
Pediatrics Physician
235853
NY
208000000X
Pediatrics Physician
Q1616
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
Q1616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034126
MEDICAID PIN
NJ
05
—
342204001
—
TX
01
—
376604YLEX
MEDICARE PTAN
TX
Enumeration date
10/14/2006
Last updated
05/07/2025
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