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Theodore Gordon, O.D
NPI 1568455962 · on the registry since 2005 · sole proprietor
Practice
- Address
- 354 Sewall St
Centergate Commons
Ludlow, MA 01056 - Phone
- (413) 583-2260
- Fax
- (413) 583-3957
- Organisation at this address
- Theodore B Gordon Od
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts