Robert P Gordon, MD | |
500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446-1177 | |
(201) 962-7282 | |
Not Available |
Full Name | Robert P Gordon |
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Gender | Male |
Speciality | Anesthesiology |
Location | 500 N Franklin Tpke, Ramsey, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053349191 | NPI | - | NPPES |
01216357 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 168641 (New York) | Primary |
Entity Name | State Of New York Comptrollers Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235142472 PECOS PAC ID: 0840101770 Enrollment ID: O20040313000077 |
Mailing Address | Practice Location Address |
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Robert P Gordon, MD 255 W Michigan Ave, P. O. Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Robert P Gordon, MD 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446-1177 Ph: (201) 962-7282 |
Michael Song, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 Fax: 201-962-7283 | |
Igor Melyokhin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 | |
John Pillitteri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 | |
Monte Goldstein, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 500 N Franklin Tpke, Suite 206, Ramsey, NJ 07446 Phone: 201-962-7282 |