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Contact Information

SANDRA S LOOBY GORDON, MD
801 MASSACHUSETTS AVE, SUITE 6C
CROSSTOWN BLDG
BOSTON, MA02118-2605
 Phone: 617-414-5951
 Fax: 617-414-9201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for SANDRA S LOOBY GORDON · (Female)

NPI # 1972549343
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 11/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 72762
  • MA Medicaid 110050735A
Hospital affiliation(s)
  • BOSTON MEDICAL CENTER CORPORATION - (Acute Care)
    1 BOSTON MEDICAL CENTER PLACE
    BOSTON, MA 02118
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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