Individual
DR. WENDELL JOSEPH GORUM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1503 GRAVESEND NECK RD, BROOKLYN, NY 11229-4428
(718) 479-3303
(646) 569-6993
Mailing address
1503 GRAVESEND NECK RD, BROOKLYN, NY 11229-4428
(718) 479-3303
(646) 569-6993
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
248330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03078360
—
NY
Enumeration date
07/14/2005
Last updated
04/19/2016
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