Doctor Name: | DR. RICHARD L. GORMAN |
NPI Number: | 1073580254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D30349 |
Business Practice Address: | 9011 Chevrolet Dr Suite 7&8 Ellicott City, MD - 210424024 |
Business Phone Number: | 4104654111 |
Business Fax Number: | 4104654124 |
Mailing Address: | 9011 Chevrolet Dr, Suite 7&8 ELLICOTT CITY |
State: | MD |
Postal Code: | 210424024 |
Phone Number: | 4104654111 |
Fax Number: | 4104654124 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | D30349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |