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NPI Profile for LEAH M GORDON in BOSTON, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1033461116 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 10/12/2012 | |
| Last updated | 05/28/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LEAH M GORDON
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LEAH M GORDON, NP-C