Gordon, Charles Fox

Gordon, Charles Fox is an sole proprietor health care provider with primary practice located at 9 Old Plank Road Suite 100, Clifton Park NY 12065-3107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gordon, Charles Fox can be contacted via phone (518) 371-0777.

Contact Information

Primary practice address
9 Old Plank Road Suite 100 Clifton Park NY 12065-3107
Phone: (518) 371-0777
Fax: (518) 371-0366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 1889491 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 1889491 New York

Profile Details

NPI number 1649243890
LBN Legal business name Gordon, Charles Fox
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Apr 19th, 2023 - about 2 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 1649243890 NPPES
New York MEDICAID 1339826
New York Other 000405090003
New York MEDICAID 01339826

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