Individual
HEIDI V GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
12 NEWBURYPORT RD, UPPER HOLLAND, PA 19053-1556
(215) 860-4110
(267) 295-8208
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA62314
NJ
207L00000X
Anesthesiology Physician
MD054695L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7205007
—
NJ
Enumeration date
03/01/2006
Last updated
02/17/2020
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