Gregory A Gordon in Boston - Internal Medicine

Gregory A Gordon - NPI 1356316608

Gregory A Gordon is a Internal Medicine in Boston, Massachusetts. Gregory A Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gregory A Gordon is 1356316608. The last update date is 2007-07-08.

Gregory A Gordon's current location address is 147 Milk St, Boston, Massachusetts. You can contact this provider via phone number 6175598374 and fax number 6174213487. The mailing address for Gregory A Gordon is 147 Milk St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory A Gordon
Address 147 Milk St, Boston, Massachusetts
Phone Number 6175598374
Fax Number 6174213487
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1356316608
Provider Enumeration Date 2006-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 147 Milk St
City Boston
State Massachusetts (MA)
Post Code 21094806
Phone Number 6175598374
Fax Number 6174213487

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 226580
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
494375 MA TUFTS
J29568 MA BLUE CROSS
AA46469 MA HARVARD PILGRIM
2113210 MA --

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FAQs about Gregory A Gordon

What is the unique 10-digit identifier code assigned to Gregory A Gordon by the Centers for Medicare & Medicaid Services?

The Gregory A Gordon has been issued the NPI (National Provider Identifier) 1356316608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Gregory A Gordon?

The Gregory A Gordon is physically situated at 147 Milk St, in the city of Boston, state of MA, with the postal code 21094806.

What is the Gregory A Gordon's area of specialization and corresponding taxonomy classification?

The Gregory A Gordon's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356316608 to Gregory A Gordon?

The Centers for Medicare & Medicaid Services originally issued the 1356316608 to Gregory A Gordon on 2006-02-21.

As of what date were the Gregory A Gordon's details last updated?

The information pertaining to the Gregory A Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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