Gordon, Cecil C

Gordon, Cecil C is an individual health care provider with primary practice located at 611 W 18Th St , Wilmington DE 19802-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gordon, Cecil C can be contacted via phone (302) 658-3331.

Contact Information

Primary practice address
611 W 18Th St Wilmington DE 19802-4707
Phone: (302) 658-3331
Fax: (302) 658-9306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C1-0002191 Delaware

Profile Details

NPI number 1184793606
LBN Legal business name Gordon, Cecil C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184793606 NPPES
Delaware MEDICAID 0000026401
Delaware Other 62308
Delaware Other 26448
Delaware Other 0098167000
Delaware Other 4198363

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