Provider Demographics
NPI:1265723282
Name:GORMAN, EMILY IRENE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:IRENE
Last Name:GORMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:79 SHERBROOKE AVE
Mailing Address - Street 2:APT #2
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-5706
Mailing Address - Country:US
Mailing Address - Phone:617-233-2763
Mailing Address - Fax:
Practice Address - Street 1:55 FOGG RD
Practice Address - Street 2:SOUTH SHORE HOSPITAL EMERGENCY CARE PHYSICIANS
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190
Practice Address - Country:US
Practice Address - Phone:617-414-4929
Practice Address - Fax:781-624-6730
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2018-12-06
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Provider Licenses
StateLicense IDTaxonomies
MA262797207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine