Individual
FREDRIC D GORDON
Active
Individual
FREDRIC D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
73902
MA
207RI0008X
Hepatology Physician
Primary
73902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055325A
—
MA
05
—
3133745
—
MA
Enumeration date
09/20/2006
Last updated
03/17/2025
Update your record
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