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
Phone: (973) 538-4870
Fax: (973) 267-6880
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235192139 | NPPES |
New Jersey | MEDICAID | 0021733 |
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