Individual
JAMES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905-4539
(401) 444-5280
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102412
NC
363A00000X
Physician Assistant
Primary
PA01655
RI
Other
Enumeration date
08/10/2006
Last updated
11/04/2025
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