Active NPIIndividual provider

Andrea E Gordon, MD

Family Medicine in Malden, Massachusetts

NPI Number1811986292
Practice location
195 Canal St, Malden, MA 02148-6701
Fax
—
Last updated
November 29, 2011

Andrea E Gordon is a Family Medicine based in Malden, MA. Andrea E Gordon practices in Malden, MA and has the professional credentials of MD. The NPI Number for Andrea E Gordon is 1811986292 and holds a License No. 223312 (MA). The current practice location address for Andrea E Gordon is 195 Canal St, Malden, MA 02148-6701 and can be reached out via phone at 781-338-0500.

Provider Profile Details

NPI Number
1811986292
Provider Name
Andrea E Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
195 Canal St, Malden, MA 02148-6701
Phone Number
781-338-0500
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2005
Last Update Date
November 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Canal St
Malden, MA 02148-6701
City
Malden
Zip
02148-6701
Phone Number
781-338-0500
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
195 Canal St
Malden, MA 02148-6701
City
Malden
State
MA
Zip
02148-6701

License Information

License Number
223312
License State
MA
Taxonomy
Family Medicine · 207Q00000X · 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 Andrea E Gordon, MD?

The NPI number of Andrea E Gordon, MD is 1811986292. It was assigned on October 18, 2005 and is currently active in the NPPES registry.

What is the specialty of Andrea E Gordon, MD?

Andrea E Gordon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 223312.

Where does Andrea E Gordon, MD practice?

The practice location is 195 Canal St, Malden, MA 02148-6701. The office can be reached at 781-338-0500 (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 1811986292 directly on the NPPES registry website.

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