| Doctor Name: | VINCENT M. GORE |
| NPI Number: | 1740255702 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | 0101225491 |
| Business Practice Address: | 12101 S Chalkley Rd Chester, VA - 238313755 |
| Business Phone Number: | 8047963636 |
| Business Fax Number: | |
| Mailing Address: | Po Box 758963, BALTIMORE |
| State: | MD |
| Postal Code: | 212758963 |
| Phone Number: | 8048224355 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101225491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |