Individual
DR. STEPHEN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 PEARL ST, ESSEX JUNCTION, VT 05452-3659
(802) 878-4445
Mailing address
PO BOX 1517, WILLISTON, VT 05495-1517
(802) 382-8880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0006480
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
042.0006480
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005128
—
VT
Enumeration date
07/28/2006
Last updated
07/22/2020
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