I Bruce Gordon MD

NPI 1174721526 - Pediatrics - 208000000X

NPI Details
NPI 1174721526
Gender Male
Enumeration Date 07/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
120 W 57TH ST
904
NEW YORK NY, 10019-3320, US
Phone (212) 632-4520
Fax (212) 307-7896
Business Location
120 W 57TH ST
904
NEW YORK NY, 10019-3320, US
Phone (212) 632-4520
Fax (212) 307-7896
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 094231
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According to our database, Dr. I Bruce Gordon MD NPI is 1174721526, taxonomy code is 208000000X and license number is 094231, license state is located at New York. I Bruce Gordon MD physically located at 120 W 57th St, New York NY, 10019-3320. NPI Number I Bruce Gordon MD has the Individual type.

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1174721526 NPI number is provided on an as is basis without warranty of any kind. 1174721526 is maintained by the National Plan & Provider Enumeration System. The contents of I Bruce Gordon MD are for informational purposes only.