Gormley, Charles J

Gormley, Charles J is an individual health care provider with primary practice located at 531 Faunce Corner Rd , Dartmouth MA 02747-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gormley, Charles J can be contacted via phone (508) 996-3991.

Contact Information

Primary practice address
531 Faunce Corner Rd Dartmouth MA 02747-1242
Phone: (508) 996-3991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55464 Massachusetts

Profile Details

NPI number 1558358671
LBN Legal business name Gormley, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 14th, 2018 - about 6 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 1558358671 NPPES
Massachusetts MEDICAID 3007634

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