Individual
STANLEY A GORGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
128
NH
213E00000X
Podiatrist
1479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRK017
HARVARD PILGRIM
MA
01
—
PRK017
HARVARD PILGRIM
NH
01
—
Y71010
MASS BCBS
MA
Enumeration date
11/09/2006
Last updated
01/11/2013
Update your record
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