IndividualActive
Jason Gorman
NPI 1003882051 · Other Technician · Washington, DC
Provider details
- NPI number
- 1003882051
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
Uscg Hq, Comdt
(cg-1122)
Washington, DC 20593-0001
Phone: (860) 444-8402
Approximate (ZIP-level) locationGet directions
Mailing address
208 Benham Rd
Groton, CT 06340-5006
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.