Gordon, Stuart L

Gordon, Stuart L is an sole proprietor health care provider with primary practice located at 3 Cooper Plz Suite 502, Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gordon, Stuart L can be contacted via phone (856) 968-7433.

Contact Information

Primary practice address
3 Cooper Plz Suite 502 Camden NJ 08103-1438
Fax: (856) 968-8499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD028092E Pennsylvania

Profile Details

NPI number 1154361103
LBN Legal business name Gordon, Stuart L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jun 13th, 2012 - about 12 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 1154361103 NPPES
Pennsylvania MEDICAID 0010734780002

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