Gore, Constance B

Gore, Constance B is an individual health care provider with primary practice located at 100 Madison Ave Carol G Simon Cancer Center, Morristown NJ 07960-6136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gore, Constance B can be contacted via phone (973) 538-4870.

Contact Information

Primary practice address
100 Madison Ave Carol G Simon Cancer Center Morristown NJ 07960-6136
Fax: (973) 267-6880
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 26NN05253500 New Jersey

Profile Details

NPI number 1235192139
LBN Legal business name Gore, Constance B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235192139 NPPES
New Jersey MEDICAID 0021733

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