# LAWRENCE GORDON MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386968220
- **Authorized official:** DR. LAWRENCE J GORDON MD (CEO)
- **Authorized official phone:** (845) 294-0661

## Contact information

- **Practice address:** 521 ROUTE 515, VERNON, NJ 07462-3033
- **Practice address phone:** (845) 294-0661
- **Mailing address:** 1 HARRIMAN DR, GOSHEN, NY 10924-2406
- **Mailing address phone:** (845) 294-0661
- **Mailing address fax:** (845) 818-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 25MA08712000 | NJ | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010