Individual
GORDON JURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75606
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
75606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050049692
PALMETTO GBA
MA
01
—
075605
TUFTS HEALTH PLAN
MA
01
—
275178
HARVARD PILGRIM
MA
01
—
3092305
HEALTHY START
MA
05
—
3092305
—
MA
01
—
364770
FALLON
MA
01
—
F26097
TRICARE
MA
01
—
J12427
BLUE SHIELD
MA
Enumeration date
07/22/2006
Last updated
05/20/2008
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