Individual
ANDREW R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CARNIE BLVD STE B5, VOORHEES, NJ 08043-4514
(888) 909-7572
Mailing address
100 CARNIE BLVD STE B5, VOORHEES, NJ 08043-4514
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08077600
NJ
2085R0202X
Diagnostic Radiology Physician
MD428107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08077600
STATE OF NJ
NJ
01
—
MD428107
PA LICENSE
PA
Enumeration date
08/18/2006
Last updated
11/07/2022
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