Dr. Mark Jeffrey Gorman, MD
Psychiatry & Neurology, Vascular Neurology in Scarborough, ME. Individual provider (NPI-1).
NPI number1891765418
StatusActive
Last updated in NPPESNov 22, 2016
Details
- NPI
- 1891765418
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Jeffrey Gorman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2006
- Last updated
- Nov 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology, Vascular Neurology | MD21232 | ME | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD21232 | ME |
Practice location
49 Spring StScarborough, ME 04074-8926
Phone 207-883-1414
Mailing address
300 Southborough DrSuite 201
South Portland, ME 04106-6914
Phone 207-661-2000 · Fax 207-661-2033
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