Jeffrey A Gordon in Woodstock - Hematology & Oncology
Jeffrey A Gordon - NPI 1609857119
Jeffrey A Gordon is a Hematology & Oncology in Woodstock, Connecticut. Jeffrey A Gordon practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Jeffrey A Gordon is 1609857119. The last update date is 2018-08-31.
Jeffrey A Gordon's current location address is 39 May Brk, Woodstock, Connecticut. You can contact this provider via phone number 8609631183 and fax number 6096311898. The mailing address for Jeffrey A Gordon is 39 May Brk, Woodstock, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Gordon |
|---|---|
| Address | 39 May Brk, Woodstock, Connecticut |
| Phone Number | 8609631183 |
| Fax Number | 6096311898 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609857119 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2018-08-31 |
Provider Mailing Address Detail
| Address | 39 May Brk |
|---|---|
| City | Woodstock |
| State | Connecticut (CT) |
| Post Code | 62811819 |
| Phone Number | 8609631183 |
| Fax Number | 6096311898 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 36423 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1609857119 | CT | -- | |
| C02844 | CT | MEDICARE GROUP | |
| 4222600 | CT | MEDICAID GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey A Gordon by the Centers for Medicare & Medicaid Services?
The Jeffrey A Gordon has been assigned the NPI (National Provider Identifier) 1609857119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jeffrey A Gordon located?
The Jeffrey A Gordon is located at 39 May Brk, Woodstock, CT 62811819.
What is Jeffrey A Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey A Gordon's area of specialization is Hematology & Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Rh0003X.
On what date was the 1609857119 assigned to Jeffrey A Gordon?
The Jeffrey A Gordon was issued its 1609857119 on 2005-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeffrey A Gordon's details last updated?
The information pertaining to the Jeffrey A Gordon, including its address, specialty, and other details, was most recently updated on 2018-08-31.