Individual
JENNIFER L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
99 E RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 282-4022
(860) 289-0746
Mailing address
99 E RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 282-4022
(860) 289-0746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000022
CT
Other
Enumeration date
09/20/2006
Last updated
05/06/2014
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