Gordon, Robert

Gordon, Robert is an individual health care provider with primary practice located at 42 E Laurel Rd Suite 3100, Stratford NJ 08084-1354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gordon, Robert can be contacted via phone (856) 566-7070.

Contact Information

Primary practice address
42 E Laurel Rd Suite 3100 Stratford NJ 08084-1354
Phone: (856) 566-7070
Fax: (856) 566-6952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MBO3186400 New Jersey

Profile Details

NPI number 1013945799
LBN Legal business name Gordon, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 6th, 2018 - about 8 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 1013945799 NPPES
New Jersey Other 290008695 RAILROAD MEDICARE
New Jersey MEDICAID 1996509 RAILROAD MEDICARE

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