Individual
DR. THOMAS H GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
440 ARSENAL ST, WATERTOWN, MA 02472-2898
(617) 926-0202
(617) 926-5430
Mailing address
440 ARSENAL ST, WATERTOWN, MA 02472-2898
(617) 926-0202
(617) 926-5430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610546
—
MA
01
—
763508
TUFTS HEALTH
MA
01
—
Y35689
BCBS
MA
Enumeration date
02/10/2006
Last updated
08/19/2016
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