| Doctor Name: | MARCUS T GORDON |
| NPI Number: | 1013925569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 82013 |
| Business Practice Address: | North Shore Women's Center 480 Lynnfield St. 2nd Floor Lynn, MA - 01904 |
| Business Phone Number: | 7815954800 |
| Business Fax Number: | |
| Mailing Address: | North Shore Women's Center, 480 Lynnfield St. 2nd Floor LYNN |
| State: | MA |
| Postal Code: | 01904 |
| Phone Number: | 7815954800 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 82013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |