Joel Peter Gordon in Springfield - Dermatology
Joel Peter Gordon - NPI 1770553505
Joel Peter Gordon is a Dermatology in Springfield, Massachusetts. Joel Peter Gordon practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Joel Peter Gordon is 1770553505. The last update date is 2017-02-10.
Joel Peter Gordon's current location address is 3455 Main St, Springfield, Massachusetts. You can contact this provider via phone number 4137339600. The mailing address for Joel Peter Gordon is 3455 Main St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joel Peter Gordon |
|---|---|
| Address | 3455 Main St, Springfield, Massachusetts |
| Phone Number | 4137339600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770553505 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 3455 Main St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11071142 |
| Phone Number | 4137339600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 78013 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12706 | MA | HEALTH NEW ENGLAND | |
| 758399 | MA | TUFTS HEALTH PLANS | |
| 758399 | MA | TUFTS INSURANCE | |
| J14217 | MA | BLUE CROSS BLUE SHIELD | |
| 43238282 | MA | AETNA | |
| 4500254 | MA | AETNA | |
| 747282 | MA | CONNECTICARE | |
| 3147062 | MA | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to Joel Peter Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Joel Peter Gordon has been assigned the NPI (National Provider Identifier) 1770553505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Joel Peter Gordon located?
The Joel Peter Gordon is located at 3455 Main St, Springfield, MA 11071142.
What is Joel Peter Gordon's area of expertise and its corresponding taxonomy classification?
The Joel Peter Gordon's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1770553505 assigned to Joel Peter Gordon?
The Joel Peter Gordon was issued its 1770553505 on 2006-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Joel Peter Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joel Peter Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-10.