NPI 1619047289 · live from the CMS NPI Registry
Stanley A Gorgol, DPM
Podiatrist in Salem, NH. National Provider Identifier 1619047289, active.
NPI record
| NPI | 1619047289 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 198 Main St, Salem, NH 03079 |
| Practice phone | 603-898-5864 |
| Enumerated | November 9, 2006 |
| Last updated | January 11, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 128 (NH) |
| Podiatrist | 213E00000X | 1479 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.