Gorman, Mark Patrick

Gorman, Mark Patrick is an individual health care provider with primary practice located at 300 Longwood Ave Department Of Neurology - Children'S Hospital Boston, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Gorman, Mark Patrick can be contacted via phone (617) 355-2067.

Contact Information

Primary practice address
300 Longwood Ave Department Of Neurology - Children'S Hospital Boston Boston MA 02115-5724
Phone: (617) 355-2067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 227577 Massachusetts

Profile Details

NPI number 1881636017
LBN Legal business name Gorman, Mark Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 12th, 2008 - about 16 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 1881636017 NPPES
Massachusetts MEDICAID 2149303

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