Provider Demographics
NPI:1487819058
Name:GORSKI, ANNA GRAZIELLA BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:GRAZIELLA BARBARA
Last Name:GORSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:GRAZIELLA
Other - Last Name:BARBARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3305 OAKWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-6924
Mailing Address - Country:US
Mailing Address - Phone:626-318-3174
Mailing Address - Fax:
Practice Address - Street 1:280 HOSPITAL PKWY BLDG B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1103
Practice Address - Country:US
Practice Address - Phone:626-318-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA59202207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology