Individual
GORDON RICHARD PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 HARRISON AVE STE 808, BOSTON, MA 02118-2326
(617) 638-5633
(617) 638-8655
Mailing address
720 HARRISON AVE STE 808, BOSTON, MA 02118-2326
(617) 638-5633
(617) 638-8655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083167
—
MA
Enumeration date
04/10/2006
Last updated
07/08/2007
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