Organization
LAWRENCE GORDON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J GORDON MD (CEO)
(845) 294-0661
Entity
Organization
Contact information
Practice address
521 ROUTE 515, VERNON, NJ 07462-3033
(845) 294-0661
Mailing address
1 HARRIMAN DR, GOSHEN, NY 10924-2406
(845) 294-0661
(845) 818-9646
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
25MA08712000
NJ
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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