Individual
JONATHAN C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 E 34TH ST, NEW YORK, NY 10016-4337
(212) 252-6182
Mailing address
PO BOX 95000-2454, PHILADELPHIA, PA 19195-2454
(212) 252-6182
(212) 252-6080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
217385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02217132
—
NY
Enumeration date
02/08/2006
Last updated
09/25/2012
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