Gordon, Mara
Gordon, Mara is an individual health care provider with primary practice located at 1865 Harrison Ave Ste 1300 , Camden NJ 08105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gordon, Mara can be contacted via phone (856) 963-0126.Contact Information
Primary practice address
1865 Harrison Ave Ste 1300
Camden NJ 08105
Phone: (856) 963-0126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD046249 | District of Columbia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA10625600 | New Jersey |
Profile Details
| NPI number | 1730575630 |
|---|---|
| LBN Legal business name | Gordon, Mara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Aug 27th, 2019 - about 7 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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