Individual
DR. MICHAEL SCOTT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 MAPLE ST, DANVERS, MA 01923-2121
(978) 304-8451
(978) 304-8449
Mailing address
480 MAPLE ST, DANVERS, MA 01923-2121
(978) 304-8451
(978) 304-8449
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
54391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2384
FALLON
MA
01
—
28480
MATTHEW THORNTON
MA
05
—
3023397
—
MA
01
—
3300086
UNITED HEALTHCARE
MA
01
—
5161
HARVARD PILGRIM
MA
01
—
710566
TUFTS
MA
01
—
91531
CIGNA
MA
01
—
J06385
BCBS
MA
Enumeration date
04/20/2006
Last updated
03/23/2009
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