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Physician Compare National (NPI:1336141480)

HEALTHCARE PROVIDER: MAUREEN E GORMLEY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1336141480
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850301250
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060501000108
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GORMLEY
Individual professional last name
Provider First Name MAUREEN
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text DC
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name NATIONAL COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 1986
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1250 MASS AVE
Group Practice or individual's line 1 address
City ARLINGTON
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 024764124
Group Practice or individual's zip code (9 digits when available)
Phone Number 7816439433
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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