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
Phone: (609) 581-5303
Fax: (609) 631-6839
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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