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Individual

DR. STEFAN MICHAEL GORSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
590 PETER JEFFERSON PLACE, SUITE 175, CHARLOTTESVILLE, VA 22911-0001
(434) 982-6900
(434) 982-8420
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101051836
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005854474
VA
05
006044239
VA
05
006045006
VA
01
110096332
MEDICARE RAILROAD
VA
01
110117310
MEDICARE RAILROAD /AMC
VA
01
110117312
MEDICARE RAILROAD / CULP
VA
Enumeration date
12/13/2005
Last updated
02/21/2013
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