Individual
MR. JAMES ROBERT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
591 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 852-3636
(508) 853-6060
Mailing address
591 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 852-3636
(508) 853-6060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1311
MA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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