Gordon, Joel Peter
Gordon, Joel Peter is an sole proprietor health care provider with primary practice located at 3455 Main St Suite 5, Springfield MA 01107-1142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gordon, Joel Peter can be contacted via phone (413) 733-9600.Contact Information
Primary practice address
3455 Main St Suite 5
Springfield MA 01107-1142
Phone: (413) 733-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 78013 | Massachusetts |
Profile Details
| NPI number | 1770553505 |
|---|---|
| LBN Legal business name | Gordon, Joel Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 10th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770553505 | NPPES |
| Massachusetts | Other | 12706 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 758399 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 758399 | HEALTH NEW ENGLAND |
| Massachusetts | Other | J14217 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043238282 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 4500254 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 747282 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 3147062 | HEALTH NEW ENGLAND |
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