Individual provider · Type 1 NPI

Scott Gordon Place, MD

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

NPI number 1982280632 Active

Practice location

801 Massachusetts Ave, Ste 5A Crosstown Bldg
Boston, MA 02118-3549

Fax (617) 414-9251

Mailing address

960 Massachusetts Ave, Fl 2
Boston, MA 02118

Other practice locations

  • 72 E Newton St Ste 124, Boston, MA 02118-2308 · (617) 638-7253

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Internal Medicine Physician 207R00000X1018251 (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 1982280632

Scott Gordon Place, MD's National Provider Identifier is 1982280632, issued on Mar 23, 2021. 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 Apr 23, 2024.