Individual
DR. RICHARD E GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N 7TH ST STE 200, CHAMBERSBURG, PA 17201-1795
(717) 217-6800
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD053052L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014851760005
—
PA
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
143050
HIGHMARK BLUESHIELD
PA
01
—
2191573
UNITED HEALTH CARE (MAMSI)
PA
01
—
25-1716306
DEVON
PA
01
—
4549904
AETNA NON-HMO
PA
01
—
6121247
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MD053052L
LICENSE
PA
01
—
P00841788
RAILROAD MEDICARE
PA
Enumeration date
11/03/2005
Last updated
03/07/2023
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