O'Gorman, Michael Christopher

O'Gorman, Michael Christopher is an sole proprietor health care provider with primary practice located at 90 Libbey Pkwy Suite 100 South Shore Hospital Center For Wound Healing, Weymouth MA 02189. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. O'Gorman, Michael Christopher can be contacted via phone (781) 624-4950.

Contact Information

Primary practice address
90 Libbey Pkwy Suite 100 South Shore Hospital Center For Wound Healing Weymouth MA 02189
Phone: (781) 624-4950
Fax: (877) 892-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 72633 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72633 Massachusetts

Profile Details

NPI number 1700852407
LBN Legal business name O'Gorman, Michael Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jul 23rd, 2014 - 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 1700852407 NPPES
Massachusetts MEDICAID 9708995
Massachusetts MEDICAID 3065308

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