Provider Demographics
NPI:1366097263
Name:NEIGHBORHOOD PRIMARY CARE PLLC
Entity type:Organization
Organization Name:NEIGHBORHOOD PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GORZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-330-4570
Mailing Address - Street 1:1261 S LAPEER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1419
Mailing Address - Country:US
Mailing Address - Phone:248-690-9181
Mailing Address - Fax:248-690-9675
Practice Address - Street 1:1261 S LAPEER RD STE 202
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1419
Practice Address - Country:US
Practice Address - Phone:248-690-9181
Practice Address - Fax:248-690-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty