Gordan, Patrick Livius

Gordan, Patrick Livius is an individual health care provider with primary practice located at 81 Highland Ave , Salem MA 01970-2714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gordan, Patrick Livius can be contacted via phone (978) 354-2405.

Contact Information

Primary practice address
81 Highland Ave Salem MA 01970-2714
Fax: (978) 825-6312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 217197 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 217197 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 217197 Massachusetts

Profile Details

NPI number 1043297070
LBN Legal business name Gordan, Patrick Livius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043297070 NPPES
Massachusetts MEDICAID 2016761

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