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Individual

DR. ELIZABETH ANN GORMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9038
NH
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
9038
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0RE2822
VT
05
99002822
NH
Enumeration date
08/19/2006
Last updated
04/02/2012
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