Individual
DR. RICHARD L. GORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9011 CHEVROLET DR, SUITE 7&8, ELLICOTT CITY, MD 21042-4024
(410) 465-4111
(410) 465-4124
Mailing address
9011 CHEVROLET DR, SUITE 7&8, ELLICOTT CITY, MD 21042-4024
(410) 465-4111
(410) 465-4124
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D30349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M20198
CDS
MD
Enumeration date
03/07/2006
Last updated
03/07/2023
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