| Doctor Name: | DR. NICOLE JEANINE GORMLEY |
| NPI Number: | 1003121096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | D0064507 |
| Business Practice Address: | 10 Center Dr Bldg 10, Rm 2c145 Bethesda, MD - 208920001 |
| Business Phone Number: | 3014969320 |
| Business Fax Number: | |
| Mailing Address: | 10 Center Dr, Bldg 10, Rm 2c145 BETHESDA |
| State: | MD |
| Postal Code: | 208920001 |
| Phone Number: | 3014969320 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0000X |
| License Number: | D0064507 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology |
| Taxonomy Definition: | An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |