James R Gordon
NPI #1336302900 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1336302900
- Entity Type
- Organization
- Organization Name
- James R Gordon
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jul 3, 2008
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 591 LINCOLN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605-1932
- Phone
- (508) 852-3636
Authorized Official
- Name
- ANITA FRESOLO
- Title
- BILLING COORDINATOR
- Phone
- (508) 853-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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