Individual
MR. GORDON L MCCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCMA
Contact information
Practice address
714 BROADWAY, SUITE #1, PATERSON, NJ 07514-3402
(973) 357-1555
(973) 357-2640
Mailing address
714 BROADWAY, SUITE #1, PATERSON, NJ 07514-3402
(973) 357-1555
(973) 357-2640
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6622-5661
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6622-5661
NHA
NJ
Enumeration date
04/04/2008
Last updated
04/04/2008
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