Organization
DEBORAH GORDON WACHUSETT PATHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GORDON M.D. (PRESIDENT)
(978) 630-6256
Entity
Organization
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6256
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9786686
—
MA
Enumeration date
10/14/2005
Last updated
02/06/2008
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