Jonathan Mark Gordon in Ridgefield - Pulmonary Disease
Jonathan Mark Gordon - NPI 1124057005
Jonathan Mark Gordon is a Pulmonary Disease in Ridgefield, Connecticut. Jonathan Mark Gordon practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Jonathan Mark Gordon is 1124057005. The last update date is 2016-08-19.
Jonathan Mark Gordon's current location address is 21 South St, Ridgefield, Connecticut. You can contact this provider via phone number 2034386541. The mailing address for Jonathan Mark Gordon is 21 South St, Ridgefield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Mark Gordon |
|---|---|
| Address | 21 South St, Ridgefield, Connecticut |
| Phone Number | 2034386541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124057005 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2016-08-19 |
Provider Mailing Address Detail
| Address | 21 South St |
|---|---|
| City | Ridgefield |
| State | Connecticut (CT) |
| Post Code | 68774102 |
| Phone Number | 2034386541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 17998 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1179985 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jonathan Mark Gordon by the Centers for Medicare & Medicaid Services?
The Jonathan Mark Gordon has been assigned the NPI (National Provider Identifier) 1124057005 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jonathan Mark Gordon?
The Jonathan Mark Gordon is situated at 21 South St, in the city of Ridgefield, state of CT, with the zip code 68774102.
What is the Jonathan Mark Gordon's area of specialization and corresponding taxonomy classification?
The Jonathan Mark Gordon's specialty field is Pulmonary Disease, and it falls under the taxonomy code 207Rp1001X, which categorizes healthcare providers based on their specialties.
On what date did Jonathan Mark Gordon receive its 1124057005 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Mark Gordon was assigned its 1124057005 on 2006-07-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jonathan Mark Gordon most recently updated?
The details pertaining to the Jonathan Mark Gordon, including its address, specialty, and other relevant information, were last refreshed on 2016-08-19.