Dr Jonathan Mark Gordon, MD | |
21 South St, Ridgefield, CT 06877-4102 | |
(203) 438-6541 | |
Not Available |
Full Name | Dr Jonathan Mark Gordon |
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Gender | Male |
Speciality | Internal Medicine |
Location | 21 South St, Ridgefield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124057005 | NPI | - | NPPES |
1179985 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 017998 (Connecticut) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | 017998 (Connecticut) | Secondary |
Entity Name | Danbury Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Mark Gordon, MD 21 South St, Ridgefield, CT 06877-4102 Ph: (203) 438-6541 | Dr Jonathan Mark Gordon, MD 21 South St, Ridgefield, CT 06877-4102 Ph: (203) 438-6541 |
Dr. Cristina Hangwa Hung, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Pheasant Ln, Ridgefield, CT 06877 Phone: 917-755-6040 | |
David B Huang, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 Ridgebury Rd # G4, Ridgefield, CT 06877 Phone: 203-791-6650 | |
Saragur M Jyothi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 580 Barrack Hill Rd, Ridgefield, CT 06877 Phone: 203-431-8836 | |
Dr. Jennifer Beth Rubin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 21 South St, Ridgefield, CT 06877 Phone: 203-438-6541 | |
Robert L Ruxin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect St, Suite 300, Ridgefield, CT 06877 Phone: 203-438-7339 | |
Dr. Frank A Delli Carpini, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 67 Nutmeg Rdg, Ridgefield, CT 06877 Phone: 203-948-0543 Fax: 203-739-0405 |