MEDICARE: DR. DEBORAH ANNE GORSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD035632E	PA

General Provider Information

NPI Number	:	1225254386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH ANNE GORSKI MD

Provider Business Mailing Address
First Line	:	PO BOX 1347
Second Line	:
City	:	KINGSTON
State	:	PA
Zip	:	18707-1117
Country	:	US
Telephone Number	:	570-474-6664
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 ALLIANCE DR
Second Line	:
City	:	HAZLETON
State	:	PA
Zip	:	18202-3234
Country	:	US
Telephone Number	:	570-474-5048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	01/19/2024

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