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NPI 1790260313

OrganizationActive

Bernard J. Gordon MD PA LLC

NPI 1790260313 · Community/Behavioral Health Agency · Portland, ME

Provider details

NPI number: 1790260313
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Lori Moulton, Billing

Practice location

145 Newbury St Fl 1

Portland, ME 04101-4261

Phone: (207) 772-5400

Fax: (207) 772-5402

More ME providers

Mailing address

145 Newbury St Fl 1

Portland, ME 04101-4261

Registry dates

Enumerated: 2018-09-28
Last updated: 2018-09-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bernard J. Gordon MD PA LLC — NPI 1790260313, Portland, ME | NPI Central