Individual
DR. JOEL PETER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
78013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043238282
AETNA
MA
01
—
12706
HEALTH NEW ENGLAND
MA
01
—
3147062
CIGNA
MA
01
—
4500254
AETNA
MA
01
—
747282
CONNECTICARE
MA
01
—
758399
TUFTS HEALTH PLANS
MA
01
—
J14217
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/24/2006
Last updated
02/10/2017
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