Individual
TIMOTHY E GORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
194 PLEASANT ST, STE 5, CONCORD, NH 03301-2952
(603) 224-5220
(603) 224-3336
Mailing address
50 HUTCHINS HILL RD, HOPKINTON, NH 03229-2619
(603) 224-5220
(603) 224-3336
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11500
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y003787NH01
BLUE CROSS/BLUE SHIELD
NH
01
—
22032058
MEDICARE TRAVELERS
NH
05
—
30203208
—
NH
Enumeration date
05/31/2005
Last updated
07/08/2007
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