Individual
DR. STUART L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD028092E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010734780002
—
PA
Enumeration date
06/07/2006
Last updated
06/13/2012
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