Individual
DR. CHAD R. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
DEPARTMENT OF PLASTIC SURGERY JOHNS HOPKINS, JHOC #8152F, 601 N. CAROLINE STREET, BALTIMORE, MD 21287-0001
(443) 287-6425
Mailing address
601 N. CAROLINE STREET, JHOC #8152F, DEPARTMENT OF PLASTIC SURGERY, JOHNS HOPKINS UNIVERSITY, BALTIMORE, MD 21287
(443) 287-6425
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
242456
MA
208200000X
Plastic Surgery Physician
Primary
H72202
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242456
MASSACHUSETTS STATE LICENSE
MA
05
—
52189
—
MD
01
—
MB07654400
NEW JERSEY LICENSE NUMBER
NJ
Enumeration date
11/30/2007
Last updated
10/11/2019
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