Individual
DR. JACK B. GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
399 YORK RD, WARMINSTER, PA 18974-4516
(215) 672-3222
(215) 672-6634
Mailing address
399 YORK RD, WARMINSTER, PA 18974-4516
(215) 672-3222
(215) 672-6634
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC001284L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023085000
KEYSTONE BLUE SHEILD
PA
01
—
048077
HIGHMARK BLUE SHEILD
PA
05
—
0505452
—
PA
01
—
31851A
KEYSTONE MERCY
PA
01
—
T23784
HEALTH PARTNERS
PA
Enumeration date
06/28/2006
Last updated
05/29/2008
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