DR. CHRISTOPHER DAVID GORDON MD NPI 1114472966

NPI Information

NPI: 1114472966
Provider Name: DR. CHRISTOPHER DAVID GORDON, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (866) 925-4767

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NPI Details

DR. Christopher David Gordon, MD is a student in an organized health care education training program in Boston, MA. The provider is 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. DR. Christopher David Gordon, MD NPI is 1114472966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
BOSTON, MA
ZIP 02114-621
Phone: (866) 925-4767

The enumeration date for this NPI number is 8/22/2016 and was last updated on 5/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A192578	CALIFORNIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		3017948	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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