Gordon, Fredric D
Gordon, Fredric D is an individual health care provider with primary practice located at 41 Mall Rd 4 West, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Hepatology is his primary health care specialty. Gordon, Fredric D can be contacted via phone (781) 744-8000.Contact Information
Primary practice address
41 Mall Rd 4 West
Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-5743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 73902 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 73902 | Massachusetts |
Profile Details
| NPI number | 1891892691 |
|---|---|
| LBN Legal business name | Gordon, Fredric D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891892691 | NPPES |
| Massachusetts | MEDICAID | 110055325A | |
| Massachusetts | MEDICAID | 3133745 |
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