| Jason George Gordon | |
|
179 Davis Ave Piscataway NJ 08854-2467 | |
| (908) 451-2550 | |
| Not Available |
| Full Name | Jason George Gordon |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 179 Davis Ave, Piscataway, New Jersey |
| Authorized Official Name and Position | Jason Gordon (CEO) |
| Authorized Official Contact | 9084512550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason George Gordon 179 Davis Ave Piscataway NJ 08854-2467 Ph: () - | Jason George Gordon 179 Davis Ave Piscataway NJ 08854-2467 Ph: (908) 451-2550 |
| NPI Number | 1801305172 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801305172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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