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1790260313
BERNARD J. GORDON MD PA LLC
PORTLAND, ME
NPI
1790260313
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Entity Type
Organization
Authorized Contact
LORI MOULTON
Billing
207-504-1079
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
BERNARD J. GORDON MD PA LLC
145 NEWBURY ST FL 1
PORTLAND, ME 04101-4261
Phone number: 207-772-5400
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Mailing Address
BERNARD J. GORDON MD PA LLC
145 NEWBURY ST FL 1
PORTLAND, ME 04101-4261
Phone number: 207-772-5400
Copy
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