Individual
DR. ELLIOT M GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
80 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1700
(732) 786-1700
(732) 972-6014
Mailing address
7 CROWN CT, MANALAPAN, NJ 07726-4301
(732) 972-1681
(732) 972-6014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1633
NJ
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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