Individual
DR. EDWIN GORDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 OTIS ST, NEWTON, MA 02460
(617) 527-0227
Mailing address
17 OTIS ST, NEWTON, MA 02460
(617) 527-0227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28881
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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