NPI 1891765418 · live from the CMS NPI Registry
Mark Jeffrey Gorman, MD
Psychiatry & Neurology, Vascular Neurology in Scarborough, ME. National Provider Identifier 1891765418, active.
NPI record
| NPI | 1891765418 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Vascular Neurology 2084V0102X |
| Practice location | 49 Spring St, Scarborough, ME 04074 |
| Practice phone | 207-883-1414 |
| Mailing address | 300 Southborough Dr, Suite 201, South Portland, ME 04106 |
| Enumerated | January 25, 2006 |
| Last updated | November 22, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Vascular Neurology primary | 2084V0102X | MD21232 (ME) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD21232 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.