Individual
RAM Y. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 POST RD, FAIRFIELD, CT 06824-6016
(203) 292-2000
(203) 255-5212
Mailing address
1305 POST RD, FAIRFIELD, CT 06824-6016
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD072186L
PA
207RI0011X
Interventional Cardiology Physician
Primary
050491
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID TPI GROUP
PA
05
—
1014582330001
—
PA
01
—
597586
MEDICARE GROUP TPI
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
11/23/2005
Last updated
01/15/2025
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