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Individual

RICKI ELLEN GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
555 KINDERKAMACK RD, ORADELL, NJ 07649-1517
(201) 262-0075
Mailing address
175 TRUMAN DR, CRESSKILL, NJ 07626-1713
(201) 739-0783

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00020201
NJ
367A00000X
Advanced Practice Midwife
F000026-1
NY

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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