Gorman, Thomas A
Gorman, Thomas A is an individual health care provider with primary practice located at 759 Chestnut Street , Springfield MA 01199-1619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gorman, Thomas A can be contacted via phone (413) 794-3233.Contact Information
Primary practice address
759 Chestnut Street
Springfield MA 01199-1619
Phone: (413) 794-3233
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 235599 | Massachusetts |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 235599 | Massachusetts |
Profile Details
NPI number | 1336351618 |
---|---|
LBN Legal business name | Gorman, Thomas A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2007 |
Last updated | Jul 24th, 2014 - about 10 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 | 1336351618 | NPPES |
Massachusetts | MEDICAID | 110079860A |
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