Individual
MR. FRANCIS GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
121 WAKELEE AVE, ANSONIA, CT 06401-1198
(203) 503-3570
(203) 503-3589
Mailing address
400 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002923
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
01
—
090236
CONNECTICARE
CT
01
—
400002923CT02
ANTHEM
CT
Enumeration date
08/23/2006
Last updated
02/27/2019
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