Gordon L. Benson
Health Service
545 Westminster St
Fitchburg
, Massachusetts 01420-4727
Gordon L. Benson
Health Service
545 Westminster St
Fitchburg
, Massachusetts 01420-4727
(975) 342-8495
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Gordon L. Benson
- 545 Westminster St
- Fitchburg, MA
- Zip : 01420-4727
- Fax : (975) 342-8495
- Phone : (978) 342-0685
Second Address
- Gordon L. Benson
- 545 Westminster St
- Fitchburg, MA
- Zip : 01420-4727
- Fax : (975) 342-8495
- Phone : (978) 342-0685
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 6718 | MA |
National Provider Identifier
| NPI | 1376662650 |
|---|---|
| Provider Name | Gordon L. Benson |
| First Address | Fitchburg, MA 01420-4727 |
| Second Address | Fitchburg, MA 01420-4727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5 | MARRIAGE & FAMILY THERAPY (01) | MA |
| 6718 | PSYCHOLOGY LICD (01) | MD |
| BE W51071 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.