| Donald G Gordon Md Llc | |
|
153 S Main St Newtown CT 06470-2791 | |
| (203) 270-7592 | |
| (203) 426-2175 |
| Full Name | Donald G Gordon Md Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 153 S Main St, Newtown, Connecticut |
| Authorized Official Name and Position | Donald G Gordon (OWNER) |
| Authorized Official Contact | 2032707592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald G Gordon Md Llc 153 S Main St Newtown CT 06470-2791 Ph: (203) 270-7592 | Donald G Gordon Md Llc 153 S Main St Newtown CT 06470-2791 Ph: (203) 270-7592 |
| NPI Number | 1154664159 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154664159 | NPI | - | NPPES |
| 060865648 | Other | CT | POMCO |
| 060865648 | Other | CT | HORIZON |
| 001270180 | Medicaid | CT | |
| 78469320 | Other | CT | CIGNA |
| 060865648 | Other | CT | UNITED HEALTHCARE |
| P419320 | Other | CT | OXFORD |
| 104361700 | Other | CT | FED OWCPO |
| 5521143 | Other | CT | FIRST HEALTH |
| 665648 | Other | CT | CTCARE |
| 5521143 | Other | CT | CCNNETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 027018 (Connecticut) | Primary |
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