Individual
AMY VIRGINIA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, SUITE E-401, NEWARK, NJ 07103-2496
(973) 972-3106
Mailing address
150 BERGEN ST, SUITE E-401, NEWARK, NJ 07103-2496
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
25MA09905900
NJ
2086S0127X
Trauma Surgery Physician
25MA09905900
NJ
Other
Enumeration date
04/08/2011
Last updated
03/09/2023
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