Gordy, Edwin

Gordy, Edwin is an individual health care provider with primary practice located at 17 Otis St , Newton MA 02460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordy, Edwin can be contacted via phone (617) 527-0227.

Contact Information

Primary practice address
17 Otis St Newton MA 02460
Phone: (617) 527-0227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28881 Massachusetts

Profile Details

NPI number 1740357458
LBN Legal business name Gordy, Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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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