Individual
MR. STUART JAY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1838 GREENE TREE RD, SUITE 325, PIKESVILLE, MD 21208-6391
(443) 352-3849
(443) 660-8257
Mailing address
1838 GREENE TREE RD, SUITE 325, PIKESVILLE, MD 21208-6391
(443) 352-3849
(443) 660-8257
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0041763
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KX69FR
BCBS
MD
Enumeration date
06/22/2005
Last updated
06/24/2011
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