Individual
JONATHAN K GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 AMESBURY ST, SUITE 113, LAWRENCE, MA 01840-1321
(978) 685-5474
(978) 689-0493
Mailing address
100 AMESBURY ST, SUITE 113, LAWRENCE, MA 01840-1321
(978) 685-5474
(978) 689-0493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79322
MA
2086S0129X
Vascular Surgery Physician
79322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3188396
—
MA
Enumeration date
07/13/2005
Last updated
03/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us