Doctor Name: | ROSEMARY D GORMAN |
NPI Number: | 1073910519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00537700 |
Business Practice Address: | 205 Rutledge Dr Red Bank, NJ - 077014702 |
Business Phone Number: | 7326877632 |
Business Fax Number: | 7327967123 |
Mailing Address: | 205 Rutledge Dr, RED BANK |
State: | NJ |
Postal Code: | 077014702 |
Phone Number: | 7326877632 |
Fax Number: | 7327967123 |
NPI Enumeration Date: | 11/26/2014 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NJ00537700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |