Active NPIIndividual provider

Mary E Gordon, MD

Pediatrics in Brookline, Massachusetts

NPI Number1134224520
Practice location
Children'S Hospital, 300 Longwood Ave, Brookline, MA 02115
Fax
—
Last updated
May 20, 2009

Mary E Gordon is a Pediatrics based in Brookline, MA. Mary E Gordon practices in Brookline, MA and has the professional credentials of MD. The NPI Number for Mary E Gordon is 1134224520 and holds a License No. 227257 (MA). The current practice location address for Mary E Gordon is Children'S Hospital, 300 Longwood Ave, Brookline, MA 02115 and can be reached out via phone at 617-355-6000.

Provider Profile Details

NPI Number
1134224520
Provider Name
Mary E Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Children'S Hospital, 300 Longwood Ave, Brookline, MA 02115
Phone Number
617-355-6000
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2006
Last Update Date
May 20, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
Children'S Hospital
300 Longwood Ave
Brookline, MA 02115
Zip
02115
Phone Number
617-355-6000
Brookline, MA 02115Get directions →

Provider Business Mailing Address Details

Address
21 Pickwick RD
West Newton, MA 02465-2818
City
West Newton
State
MA
Zip
02465-2818
Phone Number
617-355-6000

License Information

License Number
227257
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary E Gordon, MD?

The NPI number of Mary E Gordon, MD is 1134224520. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary E Gordon, MD?

Mary E Gordon, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 227257.

Where does Mary E Gordon, MD practice?

The practice location is Children'S Hospital, 300 Longwood Ave, Brookline, MA 02115. The office can be reached at 617-355-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134224520 directly on the NPPES registry website.

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