Individual
DR. MICHAEL ELIJAH GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 493-1001
Mailing address
1000 WEST ST, CARTHAGE, NY 13619-9761
(315) 771-5422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
243854
NY
Other
Enumeration date
05/10/2007
Last updated
02/15/2016
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