MEDICARE: DR. GORDON M SAPERIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	44596	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	J04413 - M18187	OTHER	BCBS
2	99001155 - 00115	OTHER	FALLON
3	304582	OTHER	HARVARD PILGRIM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3123280	OTHER	AETNA
6	772749	OTHER	TUFTS
7	2210412004	OTHER	CIGNA
8	974765	OTHER	NETWORK HEALTH

General Provider Information

NPI Number	:	1013915354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GORDON M SAPERIA MD

Provider Business Mailing Address
First Line	:	2065 COMMONWEALTH AVE
Second Line	:
City	:	AUBURNDALE
State	:	MA
Zip	:	02466-2007
Country	:	US
Telephone Number	:	508-868-3513
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1526
Country	:	US
Telephone Number	:	617-636-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/08/2007

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