Individual
DR. MARK JEFFREY GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 883-1414
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD21232
ME
2084V0102X
Vascular Neurology Physician
Primary
MD21232
ME
Other
Enumeration date
01/25/2006
Last updated
11/22/2016
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