Provider Demographics
NPI:1720002967
Name:GORMAN, JAMES GERARD (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GERARD
Last Name:GORMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:102 WHITE HORSE RD W
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3610
Mailing Address - Country:US
Mailing Address - Phone:856-309-5800
Mailing Address - Fax:856-309-8600
Practice Address - Street 1:102 WHITE HORSE RD W
Practice Address - Street 2:SUITE 103
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3610
Practice Address - Country:US
Practice Address - Phone:856-309-5800
Practice Address - Fax:856-309-8600
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB065951207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology