Individual
MADELINE M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 S MAIN ST, MANCHESTER, NH 03102-5143
(603) 625-6198
(603) 625-2045
Mailing address
325 PLEASANT ST, CONCORD, NH 03301-2552
(215) 932-3748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
080401-21
NH
363LF0000X
Family Nurse Practitioner
Primary
080401-23
NH
Other
Enumeration date
11/12/2021
Last updated
06/30/2022
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