Provider Demographics
NPI:1154292332
Name:GORA, ANN VICTORIA
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:VICTORIA
Last Name:GORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WICKATUNK RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2761
Mailing Address - Country:US
Mailing Address - Phone:732-487-1504
Mailing Address - Fax:
Practice Address - Street 1:16 WICKATUNK RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2761
Practice Address - Country:US
Practice Address - Phone:732-487-1504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula