Individual
MR. MATTHEW AINEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, 3RD FLOOR WEST PAVILION, CTICU, NEW HAVEN, CT 06510-3220
(203) 785-2702
(203) 785-3346
Mailing address
20 YORK ST, 3RD FLOOR WEST PAVILION, CTICU, NEW HAVEN, CT 06510-3220
(203) 785-2702
(203) 785-3346
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3762
CT
Other
Enumeration date
01/25/2007
Last updated
02/02/2017
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