Individual
MARA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1865 HARRISON AVE STE 1300, CAMDEN, NJ 08105
(856) 963-0126
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10625600
NJ
207Q00000X
Family Medicine Physician
MD046249
DC
Other
Enumeration date
04/08/2015
Last updated
08/27/2019
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