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1114995016
GORDON BRODIE
MANCHESTER, CT
NPI
1114995016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 017993)
Enumeration Date
2006-03-08
Last Update Date
2015-02-23
Business Address
-- GORDON BRODIE M.D
375 E CENTER ST
MANCHESTER, CT 06040-4445
Phone number: 860-646-0166
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Mailing Address
-- GORDON BRODIE M.D
PO BOX 3249
VERNON, CT 06066-2149
Phone number: 860-872-2289
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