Active NPIIndividual provider

Barry J Gordon, DO

Psychiatry & Neurology, Neuromuscular Medicine in Meriden, Connecticut

NPI Number1063515443
Practice location
455 Lewis Ave Ste 221, Meriden, CT 06451-2121
Fax
203-694-7698
Last updated
July 2, 2024

Barry J Gordon is a Psychiatry & Neurology, Neuromuscular Medicine based in Meriden, CT. Barry J Gordon practices in Meriden, CT and has the professional credentials of DO. The NPI Number for Barry J Gordon is 1063515443 and holds a License No. 000511 (CT). The current practice location address for Barry J Gordon is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121 and can be reached out via phone at 203-694-8550 and via fax at 203-694-7698.

Provider Profile Details

NPI Number
1063515443
Provider Name
Barry J Gordon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
455 Lewis Ave Ste 221, Meriden, CT 06451-2121
Phone Number
203-694-8550
Fax Number
203-694-7698
Sole Proprietor
No
Provider Enumeration Date
September 7, 2006
Last Update Date
July 2, 2024
Certification Date
July 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Lewis Ave Ste 221
Meriden, CT 06451-2121
Zip
06451-2121
Phone Number
203-694-8550
Fax Number
203-694-7698
Meriden, CT 06451Get directions →

Provider Business Mailing Address Details

Address
455 Lewis Ave Ste 221
Meriden, CT 06451-2121
City
Meriden
State
CT
Zip
06451-2121
Phone Number
203-694-8550
Fax Number
203-694-7698

License Information

License Number (1)
000511
License State (1)
CT
Taxonomy (1)
Psychiatry & Neurology, Neuromuscular Medicine · 2084N0008X · Primary
License Number (2)
000511
License State (2)
CT
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Barry J Gordon, DO?

The NPI number of Barry J Gordon, DO is 1063515443. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Barry J Gordon, DO?

Barry J Gordon, DO is registered under the primary taxonomy Psychiatry & Neurology, Neuromuscular Medicine (code 2084N0008X), licensed in CT under license number 000511.

Where does Barry J Gordon, DO practice?

The practice location is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121. The office can be reached at 203-694-8550 (phone) or 203-694-7698 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063515443 directly on the NPPES registry website.

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