Organization
DONALD G GORDON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD G GORDON M.D. (OWNER)
(203) 270-7592
Entity
Organization
Contact information
Practice address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-7592
(203) 426-2175
Mailing address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-7592
(203) 426-2175
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
027018
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270180
—
CT
01
—
060865648
POMCO
CT
01
—
104361700
FED OWCPO
CT
01
—
5521143
FIRST HEALTH
CT
01
—
665648
CTCARE
CT
01
—
78469320
CIGNA
CT
01
—
P419320
OXFORD
CT
Enumeration date
03/28/2013
Last updated
03/28/2013
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