Individual
LATASHA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RUES LN, EAST BRUNSWICK, NJ 08816-3608
(732) 254-3900
Mailing address
1427 HAMILTON ST, SOMERSET, NJ 08873-3344
(732) 763-1053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15267500
NJ
Other
Enumeration date
02/22/2025
Last updated
02/28/2025
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