Gordon, Michael S

Gordon, Michael S is an sole proprietor health care provider with primary practice located at 2119 Highway 33 Suite B, Hamilton Square NJ 08690-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gordon, Michael S can be contacted via phone (609) 581-5303.

Contact Information

Primary practice address
2119 Highway 33 Suite B Hamilton Square NJ 08690-1740
Fax: (609) 631-6839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA05912000 New Jersey

Profile Details

NPI number 1013904333
LBN Legal business name Gordon, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Nov 16th, 2011 - about 13 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 1013904333 NPPES
New Jersey Other 050071446 RAIL ROAD MEDICARE
New Jersey MEDICAID 5531802 RAIL ROAD MEDICARE
New Jersey Other 0658805000 RAIL ROAD MEDICARE
New Jersey Other 1097352 RAIL ROAD MEDICARE

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