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NPI Code Detail

MEDICARE: DR. PETER N GORLIN MD

MEDICARE: DR. PETER N GORLIN 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
1207P00000XEmergency Medicine Physician38636MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2730474OTHERMATUFTS HEALTH

General Provider Information

NPI Number : 1023197035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER N GORLIN MD
Provider Business Mailing Address
First Line : 2033 MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 978-249-1250
Fax Number :
Provider Business Practice Location Address
First Line : 2033 MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 978-249-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 03/08/2013

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