Individual
DR. DANA MARIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VMD
Contact information
Practice address
111 PARKVILLE RD., MANTUA, NJ 08051-0189
(856) 848-0020
Mailing address
111 PARKVILLE RD., MANTUA, NJ 08051-0189
(856) 848-0020
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
29VI00538900
NJ
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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