Individual
DR. JAY B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1683 ROUTE 88, BRICK, NJ 08724
(732) 840-5266
(732) 840-7840
Mailing address
1683 ROUTE 88, BRICK, NJ 08724
(732) 840-5266
(732) 840-7840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
375900
NJ
Other
Enumeration date
09/20/2006
Last updated
11/14/2007
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