Individual
DR. MANUEL BARRY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 W PLEASANTVIEW AVE STE 14A, HACKENSACK, NJ 07601-8004
(646) 483-4470
Mailing address
160 E 91ST ST, 2N, NEW YORK, NY 10128-2452
(646) 483-4470
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02185100
NJ
Other
Enumeration date
07/03/2008
Last updated
02/12/2020
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