Gordon, Barry J

Gordon, Barry J is an individual health care provider with primary practice located at 455 Lewis Ave Ste 221 , Meriden CT 06451-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is his primary health care specialty. Gordon, Barry J can be contacted via phone (203) 694-8550.

Contact Information

Primary practice address
455 Lewis Ave Ste 221 Meriden CT 06451-2121
Phone: (203) 694-8550
Fax: (203) 694-7698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X 000511 Connecticut
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 000511 Connecticut

Profile Details

NPI number 1063515443
LBN Legal business name Gordon, Barry J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063515443 NPPES
Connecticut MEDICAID 001005116

Popular Providers