Gordon, Marilyn
Gordon, Marilyn is an individual health care provider with primary practice located at 107A County Rd , N Falmouth MA 02556-2019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gordon, Marilyn can be contacted via phone (508) 564-5522.Contact Information
Primary practice address
107A County Rd
N Falmouth MA 02556-2019
Phone: (508) 564-5522
Fax: (508) 564-5544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 81230 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 81230 | Massachusetts |
Profile Details
| NPI number | 1598716698 |
|---|---|
| LBN Legal business name | Gordon, Marilyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Mar 27th, 2012 - about 12 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 | 1598716698 | NPPES |
| Massachusetts | Other | 761592 | TUFTS HEALTH |
| Massachusetts | Other | 65042 | TUFTS HEALTH |
| Massachusetts | MEDICAID | 3144500 | TUFTS HEALTH |
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