Individual
DR. MARIA ANTONIA GORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
299 CAREW ST, SPRINGFIELD, MA 01104-2301
(413) 748-9779
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
258945
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
258945
MA
Other
Enumeration date
07/09/2008
Last updated
07/09/2014
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