Individual
VIRGINIA E GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
62 E MAIN ST, SOMERVILLE, NJ 08876-2312
(908) 725-8880
(908) 725-5656
Mailing address
1 BEACH AVE, LONG BRANCH, NJ 07740-7905
(732) 870-3460
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN03637300
NJ
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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