Organization
P.D.GOR MD PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP GOR M.D. (PRESIDENT)
(201) 792-5151
Entity
Organization
Contact information
Practice address
149 PALISADE AVENUE, P.D.GOR MD PA, JERSEY CITY, NJ 07306
(201) 792-5151
(201) 792-5159
Mailing address
149 PALISADE AVENUE, P.D.GOR MD PA, JERSEY CITY, NJ 07306
(201) 792-5151
(201) 792-5159
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791200
—
NJ
Enumeration date
11/03/2006
Last updated
07/13/2010
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