Marilyn Gordon, MD

Pediatrics Physician · Brockton, MA

Individual Active NPI

NPI number 1598716698

Practice location

65 Libby St
Brockton, MA 02302-2992
Phone
(508) 584-6060
Fax
(508) 584-4949

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NPI record

NPI
1598716698
Entity type
Individual (Type 1)
Enumeration date
May 13, 2006
Last updated
December 13, 2024
Certified
December 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 81230 MA
Internal Medicine Physician 207R00000X 81230 MA

About Dr. Gordon

Marilyn Gordon, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 65 Libby St, Brockton, MA 02302-2992. The NPI number 1598716698 was assigned on May 13, 2006 and the record was last updated on December 13, 2024.

Dr. Gordon lists 2 licenses in the registry: #81230 (MA) for Pediatrics Physician; #81230 (MA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marilyn Gordon, MD?

The NPI number is 1598716698.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (508) 584-6060.

Where is Dr. Gordon located?

65 Libby St, Brockton, MA 02302-2992.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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