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1932729001
JACOB GORDON
LAWRENCE, MA
NPI
1932729001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA ETLL-1093)
Enumeration Date
2020-04-19
Last Update Date
2020-06-18
Business Address
JACOB GORDON MD
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-688-1567
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Mailing Address
JACOB GORDON MD
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-688-1567
Copy
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