Provider Demographics
NPI:1588683825
Name:GORMAN, GREGORY HARRON (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:HARRON
Last Name:GORMAN
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Gender:M
Credentials:MD, MHS
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Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:BUILDING 10
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-319-8462
Mailing Address - Fax:310-295-6173
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BUILDING 10
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-8462
Practice Address - Fax:310-295-6173
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-10-11
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Provider Licenses
StateLicense IDTaxonomies
IL036-1640062080P0210X
NC99-000582080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology