Individual
ROSEMARIE ROQUE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE BOSTON MEDICAL CENTER PLACE, CHILD HEALTH FOUNDATION OF BOSTON DOWLING 3 SOUTH, BOSTON, MA 02118
(617) 414-5170
(617) 414-3803
Mailing address
ONE BOSTON MEDICAL CENTER PLACE, DIVISION OF PEDIATRICS DOWLING 3 SOUTH, BOSTON, MA 02118
(617) 414-5170
(617) 414-3803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
226695
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119285
—
MA
Enumeration date
09/27/2006
Last updated
07/08/2007
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