Andrea E Gordon MD

NPI 1811986292 - Family Medicine - 207Q00000X

NPI Details
NPI 1811986292
Gender Female
Enumeration Date 10/18/2005
Last Updated 11/29/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
195 CANAL ST
MALDEN MA, 02148-6701, US
Phone (781) 338-0500
Fax
Business Location
195 CANAL ST
MALDEN MA, 02148-6701, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 223312
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According to our database, Andrea E Gordon MD NPI is 1811986292, taxonomy code is 207Q00000X and license number is 223312, license state is located at Massachusetts. Andrea E Gordon MD physically located at 195 Canal St, Malden MA, 02148-6701. NPI Number Andrea E Gordon MD has the Individual type.

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1811986292 NPI number is provided on an as is basis without warranty of any kind. 1811986292 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea E Gordon MD are for informational purposes only.