Stephen J. Gordon, M.d.,p.a.

NPI 1174541106 - Ophthalmology - 207W00000X

NPI Details
NPI 1174541106
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN J. GORDON J STEPHEN J. GORDON
Position PRESIDENT
Phone (732) 545-0362
Fax
Practice Location
317 CLEVELAND AVE., 2ND FLOOR
HIGHLAND PARK NJ, 08904, US
Phone (732) 545-0362
Fax
Business Location
317 CLEVELAND AVE., 2ND FLOOR
HIGHLAND PARK NJ, 08904, US
Phone
Fax
Toxanomy
Taxonomy Code 207W00000X
License State New Jersey
License Number 25MA04275700
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According to our database, Stephen J. Gordon, M.d.,p.a. NPI is 1174541106, taxonomy code is 207W00000X and license number is 25MA04275700, license state is located at New Jersey. Stephen J. Gordon, M.d.,p.a. physically located at 317 Cleveland Ave., 2nd Floor, Highland Park NJ, 08904. NPI Number 1033115704 has the healthcare provider type.

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1174541106 NPI number is provided on an as is basis without warranty of any kind. 1174541106 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen J. Gordon, M.d.,p.a. are for informational purposes only.