Individual
DR. STEPHEN R GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1717
ME
207RS0012X
Sleep Medicine (Internal Medicine) Physician
1717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283650099
—
ME
Enumeration date
06/16/2006
Last updated
09/21/2010
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