Individual
DR. DANIEL R GORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 775-1984
(508) 790-1897
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 775-1984
(508) 790-1897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
80086
MA
2086S0129X
Vascular Surgery Physician
80086
MA
208D00000X
General Practice Physician
80086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029652
BOSOTN MEDICAL CENT HP
MA
01
—
009676
TUFTS HEALTH PLAN
MD
01
—
020048504
RAIROAD MEDICARE
MA
05
—
3148653
—
MA
01
—
41034
CHILDRENS MED SEC PLAN
MA
01
—
B20932301
CIGNA
MA
01
—
G24774
HARVARD PILGRIM HEALTH CA
MA
01
—
J17253
BCBS
MA
Enumeration date
02/28/2006
Last updated
07/02/2010
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