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Contact Information

BERNARD J. GORDON MD PA LLC
145 NEWBURY ST FL 1
PORTLAND, ME04101-4261
 Phone: 207-772-5400
 Fax: 207-772-5402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BERNARD J. GORDON MD PA LLC

NPI # 1790260313
LBN Legal business name BERNARD J. GORDON MD PA LLC
Authorized official LORI MOULTON - (BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2018
Last updated 09/28/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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