Individual
MICHAEL J. GORETSKY
Active
Individual
MICHAEL J. GORETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101225774
VA
2086S0120X
Pediatric Surgery Physician
2014-02561
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006704441
—
VA
05
—
1467466961
—
NC
01
—
216623
ANTHEM BCBS
VA
01
—
26053
OPTIMA/SENTARA HEATLH
VA
01
—
280541
MAMSI/OPTIMUM CHOICE
VA
01
—
311610834
NC HEALTH CHOICE
VA
01
—
3116108340003E
CIGNA
VA
01
—
7712078
AETNA
VA
01
—
89063AN
NORTH CAROLINA MEDICAID
VA
05
—
89063AN
—
NC
05
—
NC2352
—
SC
Enumeration date
07/28/2006
Last updated
12/18/2023
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