Individual
DR. GUY A RORDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WAC 835, BOSTON, MA 02114-2696
(617) 726-4484
(617) 726-5043
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4484
(617) 726-5043
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
80689
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080689
TUFTS HEALTH PLAN
MA
05
—
3137759
—
MA
01
—
J31165
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
04/22/2014
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