Individual
DEBORAH BETH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6256
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6256
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
56363
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
56363
MA
Other
Enumeration date
10/14/2005
Last updated
07/11/2007
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