Individual provider · Type 1 NPI

Christopher David Gordon, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1114472966 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (866) 925-4767 Map

Mailing address

505 Parnassus Ave Rm M1480
San Francisco, CA 94143-2204

Other practice locations

  • 505 Parnassus Ave Rm M1480, San Francisco, CA 94143-2204 · (830) 515-8191

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA192578 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000X3017948 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114472966

Christopher David Gordon, MD's National Provider Identifier is 1114472966, issued on Aug 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 12, 2025.