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Contact Information

JOHN GORE
2509 PARK AVE STE 2B
SOUTH PLAINFIELD, NJ07080-5369
 Phone: 973-454-6711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JOHN GORE · (Male)

NPI Number 1619337482
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2016
Last updated 10/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 37L00233200
  • NJ License # 37LC00233200
  • NJ License # 37PC00590800
  • NJ License # PC008591
  • PA License # 37PC00590800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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