Provider Demographics
NPI:1871557025
Name:MCGORTY, FRANCIS EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:EUGENE
Last Name:MCGORTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 DAYTON ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-4422
Mailing Address - Country:US
Mailing Address - Phone:201-670-7800
Mailing Address - Fax:201-670-7720
Practice Address - Street 1:190 DAYTON ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4408
Practice Address - Country:US
Practice Address - Phone:201-670-7800
Practice Address - Fax:201-670-7720
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA059725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG61375Medicare UPIN
003532Medicare ID - Type Unspecified