Gordon, Michael Scott
Gordon, Michael Scott is an sole proprietor health care provider with primary practice located at 480 Maple St , Danvers MA 01923-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gordon, Michael Scott can be contacted via phone (978) 304-8451.Contact Information
Primary practice address
480 Maple St
Danvers MA 01923-2121
Phone: (978) 304-8451
Fax: (978) 304-8449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 54391 | Massachusetts |
Profile Details
| NPI number | 1407811334 |
|---|---|
| LBN Legal business name | Gordon, Michael Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Mar 23rd, 2009 - about 16 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 | 1407811334 | NPPES |
| Massachusetts | Other | 2384 | FALLON |
| Massachusetts | Other | 3300086 | FALLON |
| Massachusetts | Other | 5161 | FALLON |
| Massachusetts | Other | 710566 | FALLON |
| Massachusetts | Other | 91531 | FALLON |
| Massachusetts | Other | 28480 | FALLON |
| Massachusetts | Other | 28480 | FALLON |
| Massachusetts | MEDICAID | 3023397 | FALLON |
| Massachusetts | Other | J06385 | FALLON |
Popular Providers
-
Choe, Susan
Lahey Outpatient Center @ Danvers 480 Maple Street 1St Fl, Danvers MA 01923 -
Marifke, Jerald P
3551 Abbey Ct , Green Bay WI 54313-7471 -
Kolatkar, Nikheel Shrinivas
221 Longwood Ave , Boston MA 02115-5804 -
Anwar, Kanwal
104 Endicott St Ste 104 , Danvers MA 01923-3688 -
Passaro, Maureen D
18109 Prince Philip Dr Ste B , Olney MD 20832-1519 -
Perkins, Victoria Anne
1532 W 32Nd St Ste 402 , Joplin MO 64804-1639 -
Kasdorf, Gayle M
1715 Dousman St , Green Bay WI 54303-3211 -
Javier, Emmanuel
1000 Asylum Ave Suite 4310, Hartford CT 06105-1770