Individual
MRS. CANDACE MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 356-4935
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 356-4935
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA054599
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00250500
NJ
Other
Enumeration date
11/01/2010
Last updated
07/28/2017
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