Individual
DR. GORDON ADAIR HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 OCEAN ST, UNIT 4, SOUTH PORTLAND, ME 04106-2855
(207) 221-3459
Mailing address
96 OCEAN ST, UNIT 4, SOUTH PORTLAND, ME 04106-2855
(207) 221-3459
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
006396
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006396
MAINE BOARD OF MEDICINE
ME
01
—
ME 99738
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
03/04/2008
Last updated
03/04/2008
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