Individual
MITCHELL DOUGLAS GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
311152-01
NY
Other
Enumeration date
05/04/2015
Last updated
08/10/2021
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