Individual
BARRY J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
455 LEWIS AVE STE 221, MERIDEN, CT 06451-2121
(203) 694-8550
(203) 694-7698
Mailing address
455 LEWIS AVE STE 221, MERIDEN, CT 06451-2121
(203) 694-8550
(203) 694-7698
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
000511
CT
2084N0400X
Neurology Physician
000511
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001005116
—
CT
Enumeration date
09/07/2006
Last updated
07/02/2024
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