Charles R. Gordon,m.d. Pc

NPI 1003979154 - Pediatrics - 208000000X

NPI Details
NPI 1003979154
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES RICHARD CHARLES
Position M.D.
Phone (212) 769-2668
Fax (212) 362-8738
Practice Location
262 CENTRAL PARK W
SUITE 1E
NEW YORK NY, 10024-3512, US
Phone (212) 769-2668
Fax (212) 362-8738
Business Location
262 CENTRAL PARK W
SUITE 1E
NEW YORK NY, 10024-3512, US
Phone (212) 769-2668
Fax (212) 362-8738
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 140363
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According to our database, Charles R. Gordon,m.d. Pc NPI is 1003979154, taxonomy code is 208000000X and license number is 140363, license state is located at New York. Charles R. Gordon,m.d. Pc physically located at 262 Central Park W, New York NY, 10024-3512. NPI Number 1033115704 has the healthcare provider type.

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1003979154 NPI number is provided on an as is basis without warranty of any kind. 1003979154 is maintained by the National Plan & Provider Enumeration System. The contents of Charles R. Gordon,m.d. Pc are for informational purposes only.