Marilyn Gordon, MD | |
65 Libby St, Brockton, MA 02302-2992 | |
(508) 584-6060 | |
(508) 584-4949 |
Full Name | Marilyn Gordon |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 65 Libby St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598716698 | NPI | - | NPPES |
761592 | Other | MA | TUFTS HEALTH |
65042 | Other | MA | HARVARD PILGRIM |
3144500 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 81230 (Massachusetts) | Secondary |
208000000X | Pediatrics | 81230 (Massachusetts) | Primary |
Entity Name | Marilyn B Gordon Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154541803 PECOS PAC ID: 0941271118 Enrollment ID: O20040802001425 |
Entity Name | Community Health Center Of Cape Cod, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821193145 PECOS PAC ID: 4486699568 Enrollment ID: O20050621000256 |
Mailing Address | Practice Location Address |
---|---|
Marilyn Gordon, MD 65 Libby St, Brockton, MA 02302-2992 Ph: (508) 584-6060 | Marilyn Gordon, MD 65 Libby St, Brockton, MA 02302-2992 Ph: (508) 584-6060 |
Mr. Jules Rako, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Ste 200w, Brockton, MA 02301 Phone: 508-586-7334 Fax: 508-583-7599 | |
Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Howard H Kay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 65 Libby St, Brockton, MA 02302 Phone: 508-584-6060 Fax: 508-584-4949 |