Individual
GORDON L. FEIBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6090
Mailing address
10 LEXINGTON CIR, HOLDEN, MA 01520-1404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097156A
—
MA
Enumeration date
11/12/2008
Last updated
11/14/2020
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