Individual
DR. SAMUEL JAY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
37 GILL LN, ISELIN, NJ 08830-2800
(732) 283-0500
(732) 283-3858
Mailing address
6 MORSE WAY N, HOLMDEL, NJ 07733-1345
(732) 957-9715
(732) 283-3859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 11261
NJ
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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