Mr. Michael S Gordon
Anesthesiologist
2119 Highway 33 Suite B
Hamilton Square
, New Jersey 08690-1740
Mr. Michael S Gordon
Anesthesiologist
2119 Highway 33 Suite B
Hamilton Square
, New Jersey 08690-1740
(609) 631-6839
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Mr. Michael S Gordon
- Po Box 10439
- Trenton, NJ
- Zip : 08650-4039
- Fax : (609) 631-6839
- Phone : (609) 581-5303
Second Address
- Mr. Michael S Gordon
- 2119 Highway 33 Suite B
- Hamilton Square, NJ
- Zip : 08690-1740
- Fax : (609) 631-6839
- Phone : (609) 581-5303
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 25MA05912000 | NJ |
National Provider Identifier
| NPI | 1013904333 |
|---|---|
| Provider Name | Mr. Michael S Gordon |
| First Address | Trenton, NJ 08650-4039 |
| Second Address | Hamilton Square, NJ 08690-1740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2005 |
| Last Update Date | 16/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 050071446 | RAIL ROAD MEDICARE (01) | NJ |
| 0658805000 | AMERIHEALTH PRODUCTS (01) | NJ |
| 1097352 | HORIZON MERCY (01) | NJ |
| 5531802 | (05) | NJ |
| F60016 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.