Marilyn B Gordon, Md Pc | |
107a County Rd North Falmouth MA 02556-2019 | |
(508) 564-5522 | |
(508) 564-5544 |
Full Name | Marilyn B Gordon, Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 107a County Rd, North Falmouth, Massachusetts |
Authorized Official Name and Position | Marilyn B Gordon (OWNER) |
Authorized Official Contact | 5085645522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marilyn B Gordon, Md Pc 107a County Rd North Falmouth MA 02556-2019 Ph: (508) 564-5522 | Marilyn B Gordon, Md Pc 107a County Rd North Falmouth MA 02556-2019 Ph: (508) 564-5522 |
NPI Number | 1154541803 |
---|---|
Provider Enumeration Date | 04/26/2007 |
Last Update Date | 03/15/2010 |
Medicare PECOS PAC ID | 0941271118 |
---|---|
Medicare Enrollment ID | O20040802001425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154541803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 81230 (Massachusetts) | Primary |
208000000X | Pediatrics | 81230 (Massachusetts) | Secondary |
Provider Name | Marilyn B Gordon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598716698 PECOS PAC ID: 9739150905 Enrollment ID: I20040802001455 |
Natalie L. Chambers, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Edgerton Drive, North Falmouth, MA 02556 Phone: 508-563-2690 Fax: 508-563-2698 |