Individual
ALEXANDER P. GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
67 PURINGTON LN, CHESTER, NH 03036-4304
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
070998-21
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
070998-23
NH
367500000X
Certified Registered Nurse Anesthetist
RN2310943
MA
Other
Enumeration date
04/06/2018
Last updated
03/03/2021
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