Jonathan K Gordon in Lawrence - Vascular Surgery
Jonathan K Gordon - NPI 1568460483
Jonathan K Gordon is a Vascular Surgery in Lawrence, Massachusetts. Jonathan K Gordon practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jonathan K Gordon is 1568460483. The last update date is 2015-03-04.
Jonathan K Gordon's current location address is 100 Amesbury St, Lawrence, Massachusetts. You can contact this provider via phone number 9786855474 and fax number 9786890493. The mailing address for Jonathan K Gordon is 100 Amesbury St, Lawrence, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan K Gordon |
|---|---|
| Address | 100 Amesbury St, Lawrence, Massachusetts |
| Phone Number | 9786855474 |
| Fax Number | 9786890493 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568460483 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2015-03-04 |
Provider Mailing Address Detail
| Address | 100 Amesbury St |
|---|---|
| City | Lawrence |
| State | Massachusetts (MA) |
| Post Code | 18401321 |
| Phone Number | 9786855474 |
| Fax Number | 9786890493 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 79322 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3188396 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jonathan K Gordon by the Centers for Medicare & Medicaid Services?
The Jonathan K Gordon has been assigned the NPI (National Provider Identifier) 1568460483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jonathan K Gordon is located?
The Jonathan K Gordon is situated at the following address: 100 Amesbury St, Lawrence, MA, 18401321.
What is the area of specialization for Jonathan K Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan K Gordon is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568460483 to Jonathan K Gordon?
The Centers for Medicare & Medicaid Services assigned the 1568460483 to Jonathan K Gordon on 2005-07-13.
As of what date was the information regarding Jonathan K Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan K Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-04.