Organization
EASTSIDE NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN MERVYN GORDON M.D. (PRESIDENT)
(401) 431-1860
Entity
Organization
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI 02914-5300
(401) 431-1860
(401) 435-0328
Mailing address
450 VETERANS MEMORIAL PKWY, BUILDING 11, EAST PROVIDENCE, RI 02914-5300
(401) 431-1860
(401) 435-0328
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
7343
RI
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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