Paul, Gordon Richard

Paul, Gordon Richard is an individual health care provider with primary practice located at 720 Harrison Ave Ste 808 , Boston MA 02118-2326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Paul, Gordon Richard can be contacted via phone (617) 638-5633.

Contact Information

Primary practice address
720 Harrison Ave Ste 808 Boston MA 02118-2326
Phone: (617) 638-5633
Fax: (617) 638-8655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30899 Massachusetts

Profile Details

NPI number 1306809272
LBN Legal business name Paul, Gordon Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306809272 NPPES
Massachusetts MEDICAID 2083167

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