Individual
FREDERICK GMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(856) 566-6875
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS020406
PA
2086S0102X
Surgical Critical Care Physician
25MB12090100
NJ
Other
Enumeration date
07/31/2013
Last updated
01/18/2024
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