Individual
THOMAS A GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT STREET, SPRINGFIELD, MA 01199-1619
(413) 794-3233
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
235599
MA
207R00000X
Internal Medicine Physician
235599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079860A
—
MA
Enumeration date
05/07/2007
Last updated
07/24/2014
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