Individual
DR. CECIL C GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W 18TH ST, WILMINGTON, DE 19802-4707
(302) 658-3331
(302) 658-9306
Mailing address
611 W 18TH ST, WILMINGTON, DE 19802-4707
(302) 658-3331
(302) 658-9306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C1-0002191
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000026401
—
DE
01
—
0098167000
KEYSTONE
DE
01
—
26448
COVENTRY
DE
01
—
4198363
AETNA
DE
01
—
62308
CIGNA
DE
Enumeration date
11/07/2006
Last updated
07/08/2007
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