Individual
DR. NORMAN MERVYN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500232
UNITED HEALTHCARE
RI
01
—
201764
BC/BS BLUE CHIP
RI
01
—
20655-8
BLUE CROSS BLUE SHIELD
RI
01
—
2505
NEIGHBORHOOD HEALTH
RI
05
—
9006527
—
RI
Enumeration date
07/01/2006
Last updated
01/18/2008
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