Gordon, Manuel Barry

Gordon, Manuel Barry is an sole proprietor health care provider with primary practice located at 370 W Pleasantview Ave Ste 14A , Hackensack NJ 07601-8004. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gordon, Manuel Barry can be contacted via phone (646) 483-4470.

Contact Information

Primary practice address
370 W Pleasantview Ave Ste 14A Hackensack NJ 07601-8004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22DI02185100 New Jersey

Profile Details

NPI number 1215190731
LBN Legal business name Gordon, Manuel Barry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Feb 12th, 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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