Organization
PSYCHIATRY&PSYCHOSOMATIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARITA GORMUS M.D. (M.D.)
(973) 464-7599
Entity
Organization
Contact information
Practice address
549 PINES LAKE DR E, WAYNE, NJ 07470-5117
(973) 464-7599
Mailing address
549 PINES LAKE DR E, WAYNE, NJ 07470-5117
(973) 464-7599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
25 MA08664800
NJ
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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