Provider Demographics
NPI:1184128977
Name:JAMES G GORMAN, JR., D.O., P.A.
Entity type:Organization
Organization Name:JAMES G GORMAN, JR., D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:856-309-5800
Mailing Address - Street 1:102 WHITE HORSE RD W STE 103
Mailing Address - Street 2:
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 STE 103
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty