Individual
DR. JONATHAN HARVEY GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY HOSPITAL, DANBURY, CT 06810-6099
(703) 582-3493
Mailing address
180 BROAD ST, #1107, STAMFORD, CT 06901-2075
(703) 582-3493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010079
CT
122300000X
Dentist
054502
NY
Other
Enumeration date
05/19/2008
Last updated
12/24/2009
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