Individual
MR. BALFOUR ANTHONY GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ROCKFORD DR, NEWARK, DE 19713-2120
(302) 996-5480
Mailing address
1206 RIVER RD APT 2, WILMINGTON, DE 19809-2402
(302) 384-1462
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000205
DE
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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