NPI 1003882051

Jason Todd Gorman

Practitioner Other Technician Washington, DC

Practice location

Address: Uscg Hq, Comdt (cg-1122), Washington, DC 20593-0001
Phone: (860) 444-8402
Mailing address: 208 Benham Rd, Groton, CT 06340-5006

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in District of Columbia →

Registry record

NPI: 1003882051
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2006
Record last updated: 16 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.