Patrick Livius Gordan MD

NPI 1043297070 - Internal Medicine - 207RP1001X

NPI Details
NPI 1043297070
Gender Male
Enumeration Date 12/30/2005
Last Updated 12/18/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
300 MOUNT AUBURN ST
SUITE 419
CAMBRIDGE MA, 02138-5600, US
Phone (617) 354-8771
Fax (617) 441-6393
Business Location
300 MOUNT AUBURN ST
SUITE 419
CAMBRIDGE MA, 02138-5600, US
Phone (617) 354-8771
Fax (617) 441-6393
Toxanomy
Taxonomy Code 207RP1001X
License State Massachusetts
License Number 217197
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According to our database, Dr. Patrick Livius Gordan MD NPI is 1043297070, taxonomy code is 207RP1001X and license number is 217197, license state is located at Massachusetts. Patrick Livius Gordan MD physically located at 300 Mount Auburn St, Cambridge MA, 02138-5600. NPI Number Patrick Livius Gordan MD has the Individual type.

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1043297070 NPI number is provided on an as is basis without warranty of any kind. 1043297070 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Livius Gordan MD are for informational purposes only.