Juric, Gordon

Juric, Gordon is an individual health care provider with primary practice located at 163 Libbey Industrial Pkwy Suite 301, Weymouth MA 02189-3137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Juric, Gordon can be contacted via phone (781) 337-4224.

Contact Information

Primary practice address
163 Libbey Industrial Pkwy Suite 301 Weymouth MA 02189-3137
Phone: (781) 337-4224
Fax: (781) 335-0429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 75606 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 75606 Massachusetts

Profile Details

NPI number 1346261302
LBN Legal business name Juric, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated May 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346261302 NPPES
Massachusetts Other F26097 TRICARE
Massachusetts Other 275178 TRICARE
Massachusetts MEDICAID 3092305 TRICARE
Massachusetts Other J12427 TRICARE
Massachusetts Other 075605 TRICARE
Massachusetts Other 050049692 TRICARE
Massachusetts Other 364770 TRICARE
Massachusetts Other 3092305 TRICARE

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