Bernard J. Gordon in Portland - Child & Adolescent Psychiatry

Bernard J. Gordon - NPI 1609980515

Bernard J. Gordon is a Child & Adolescent Psychiatry in Portland, Maine. Bernard J. Gordon practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Bernard J. Gordon is 1609980515. The last update date is 2015-07-13.

Bernard J. Gordon's current location address is 145 Newbury St, Portland, Maine. You can contact this provider via phone number 2077725400 and fax number 2077725402. The mailing address for Bernard J. Gordon is 145 Newbury St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernard J. Gordon
Address 145 Newbury St, Portland, Maine
Phone Number 2077725400
Fax Number 2077725402
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1609980515
Provider Enumeration Date 2006-08-18
Last Updated Date 2015-07-13

Provider Mailing Address Detail

Address 145 Newbury St
City Portland
State Maine (ME)
Post Code 41014261
Phone Number 2077725400
Fax Number 2077725402

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No MD11839
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22314 ME ANTHEM BLUE CROSS

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FAQs about Bernard J. Gordon

What is the Bernard J. Gordon's unique identification number?

The Bernard J. Gordon has been assigned the NPI (National Provider Identifier) Number 1609980515 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Bernard J. Gordon is located?

The Bernard J. Gordon is situated at the following address: 145 Newbury St, Portland, ME, 41014261.

What is Bernard J. Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bernard J. Gordon's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.

When did Bernard J. Gordon receive its 1609980515 assignment?

The Bernard J. Gordon was assigned its 1609980515 on 2006-08-18, which is the date when this unique identifier was issued to the organization.

When was the information regarding Bernard J. Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bernard J. Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-13.

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