| Susan Gorman Llc | |
|
400 Morris Ave Suite 214 Denville NJ 07834-1368 | |
| (201) 874-8662 | |
| Not Available |
| Full Name | Susan Gorman Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Morris Ave Suite 214, Denville, New Jersey |
| Authorized Official Name and Position | Susan Gorman (OWNER) |
| Authorized Official Contact | 2018748662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Gorman Llc 24 Whippoorwill Ln Rockaway NJ 07866-4222 Ph: (220) 187-4866 | Susan Gorman Llc 400 Morris Ave Suite 214 Denville NJ 07834-1368 Ph: (201) 874-8662 |
| NPI Number | 1942503925 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942503925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00390700 (New Jersey) | Primary |
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