Organization
JOEL GORDON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL GORDON MD (OWNER)
(413) 774-7900
Entity
Organization
Contact information
Practice address
33 RIDDELL ST STE 4, GREENFIELD, MA 01301-2008
(413) 774-7900
(413) 774-7901
Mailing address
PO BOX 910, GREENFIELD, MA 01302-0910
(413) 772-8500
(413) 772-8900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
78013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0J14217
BCBS
MA
Enumeration date
12/12/2006
Last updated
07/14/2014
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