Individual
JERRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9238 JOHN F KENNEDY BLVD, NORHT BERGEN, NJ 07047
(718) 551-1580
(212) 888-6024
Mailing address
560 HUDSON ST STE 301, HACKENSACK, NJ 07601-6655
(201) 641-2125
(212) 888-6024
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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