Deborah Gordon Wachusett Pathologists

LBN: Deborah Gordon Wachusett Pathologists
Deborah Gordon Wachusett Pathologists is an health care organization with primary practice located at 242 Green St , Gardner MA 01440-1336. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Deborah Gordon Wachusett Pathologists can be contacted via phone (978) 630-6256, or through Gordon, Deborah via phone (978) 630-6256.

Contact Information

Primary practice address
242 Green St Gardner MA 01440-1336
Phone: (978) 630-6256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Deborah Doctor of Medicine (MD)
Phone: (978) 630-6256

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Massachusetts
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X Massachusetts

Profile Details

NPI number 1144219940
LBN Legal business name Deborah Gordon Wachusett Pathologists
DBA Doing business as
Authorized official Gordon, Deborah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144219940 NPPES
Massachusetts MEDICAID 9786686

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