Individual
MARTHA ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7536
NC
367500000X
Certified Registered Nurse Anesthetist
RN2361604
MA
Other
Enumeration date
11/02/2019
Last updated
05/15/2025
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