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NPI Code Detail

MEDICARE: MR. WILLIAM THOMAS GORMAN IV

MEDICARE: MR. WILLIAM THOMAS GORMAN IV
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
1163WP0808XPsychiatric/Mental Health Registered NurseR243430MD

General Provider Information

NPI Number : 1467394494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM THOMAS GORMAN IV
Provider Business Mailing Address
First Line : 5480 WISCONSIN AVE STE 223
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3503
Country : US
Telephone Number : 301-246-0137
Fax Number : 301-576-1645
Provider Business Practice Location Address
First Line : 5480 WISCONSIN AVE STE 223
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3503
Country : US
Telephone Number : 301-256-0137
Fax Number : 301-576-1645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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