Gordon, Heidi V

Gordon, Heidi V is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gordon, Heidi V can be contacted via phone (856) 342-2425.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103-1461
Phone: (856) 342-2425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD054695L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA62314 New Jersey

Profile Details

NPI number 1306813274
LBN Legal business name Gordon, Heidi V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 17th, 2020 - about 4 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 1306813274 NPPES
New Jersey MEDICAID 7205007

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