| Bernard J. Gordon Md Pa Llc | |
|
145 Newbury St Fl 1 Portland ME 04101-4261 | |
| (207) 772-5400 | |
| (207) 772-5402 |
| Full Name | Bernard J. Gordon Md Pa Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Newbury St Fl 1, Portland, Maine |
| Authorized Official Name and Position | Lori Moulton (BILLING) |
| Authorized Official Contact | 2075041079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard J. Gordon Md Pa Llc 145 Newbury St Fl 1 Portland ME 04101-4261 Ph: (207) 772-5400 | Bernard J. Gordon Md Pa Llc 145 Newbury St Fl 1 Portland ME 04101-4261 Ph: (207) 772-5400 |
| NPI Number | 1790260313 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790260313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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