Individual
DR. ROBERT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42 E LAUREL RD, SUITE 3100, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-6952
Mailing address
42 E LAUREL RD, SUITE 3100, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-6952
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MBO3186400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996509
—
NJ
01
—
290008695
RAILROAD MEDICARE
NJ
Enumeration date
06/29/2006
Last updated
02/06/2018
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