Individual
DR. GORDON TAVSS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 RUTLAND ST, CAMBRIDGE, MA 02138-2512
(617) 509-9973
(617) 359-8112
Mailing address
9 RUTLAND ST, CAMBRIDGE, MA 02138-2512
(617) 509-9973
(617) 359-8112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28346
MA
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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