Individual
DR. JOHN W GORECHLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07754
(732) 776-4949
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07754
(732) 776-4949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09834100
NJ
2086S0102X
Surgical Critical Care Physician
Primary
25MA09834100
NJ
2086S0102X
Surgical Critical Care Physician
264332-1
NY
2086S0127X
Trauma Surgery Physician
25MA09834100
NJ
2086S0127X
Trauma Surgery Physician
264332-1
NY
Other
Enumeration date
10/03/2006
Last updated
01/31/2017
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