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Contact Information

STANLEY A GORGOL, DPM
198 MAIN ST
SALEM, NH03079-3113
 Phone: 603-898-5864
 Fax: 603-898-1207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STANLEY A GORGOL · (Male)

NPI Number 1619047289
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/09/2006
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1479
  • NH License # 128
  • MA Other PRK017 HARVARD PILGRIM
  • MA Other Y71010 MASS BCBS
  • NH Other PRK017 HARVARD PILGRIM
Hospital affiliation(s)
  • PARKLAND MEDICAL CENTER - (Acute Care)
    1 PARKLAND DRIVE
    DERRY, NH 03038
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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