Organization
CHARLES R. GORDON,M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD GORDON M.D (M.D.)
(212) 769-2668
Entity
Organization
Contact information
Practice address
262 CENTRAL PARK W, SUITE 1E, NEW YORK, NY 10024-3512
(212) 769-2668
(212) 362-8738
Mailing address
262 CENTRAL PARK W, SUITE 1E, NEW YORK, NY 10024-3512
(212) 769-2668
(212) 362-8738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
140363
NY
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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