Individual
DR. CATHERINE M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T3290
TX
2080A0000X
Pediatric Adolescent Medicine Physician
35.125857
OH
2080A0000X
Pediatric Adolescent Medicine Physician
79775
MA
2080A0000X
Pediatric Adolescent Medicine Physician
MD14044
RI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
T3290
TX
2080P0205X
Pediatric Endocrinology Physician
MD14044
RI
2080P0205X
Pediatric Endocrinology Physician
T3290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD14044
LICENSE
RI
Enumeration date
11/14/2006
Last updated
05/30/2023
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