Dr Christopher David Gordon, MD is a
Student In An Organized Health Care Education/training Program physician based in Boston, Massachusetts. Dr Christopher David Gordon is licensed to practice in Massachusetts (license number 3017948) and his current practice location is 55 Fruit St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(866) 925-4767.
NPI number for Dr Christopher David Gordon is 1114472966 and his current mailing address is 505 Parnassus Ave Rm M1480, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114472966.
Physician's Profile
Full Name | Dr Christopher David Gordon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 55 Fruit St, Boston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114472966
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 05/12/2025
Medical Identifiers
Medical identifiers for Dr Christopher David Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114472966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A192578 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 3017948 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christopher David Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Christopher David Gordon, MD 505 Parnassus Ave Rm M1480, San Francisco, CA 94143-2204 Ph: (830) 515-8191 | Dr Christopher David Gordon, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (866) 925-4767 |
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