Gordon, Stuart Jay

Gordon, Stuart Jay is an individual health care provider with primary practice located at 1838 Greene Tree Rd Suite 325, Pikesville MD 21208-6391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gordon, Stuart Jay can be contacted via phone (443) 352-3849.

Contact Information

Primary practice address
1838 Greene Tree Rd Suite 325 Pikesville MD 21208-6391
Phone: (443) 352-3849
Fax: (443) 660-8257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0041763 Maryland

Profile Details

NPI number 1164428306
LBN Legal business name Gordon, Stuart Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 24th, 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 1164428306 NPPES
Maryland Other KX69FR BCBS

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