Individual
PHYLLIS GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
330 MOUNT AUBURN ST, CENTER FOR WOMEN, CAMBRIDGE, MA 02138-5502
(617) 499-5151
(617) 499-5179
Mailing address
330 MOUNT AUBURN ST, CENTER FOR WOMEN, CAMBRIDGE, MA 02138-5502
(617) 499-5151
(617) 499-5179
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
150129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355216
—
MA
Enumeration date
02/21/2006
Last updated
03/09/2010
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