Active NPIIndividual provider

Tamika Gordon, CERTIFIED HAIR LOSS

Specialist, Prosthetics Case Management in North Haven, Connecticut

NPI Number1235665977
Practice location
33 Bernhard RD, North Haven, CT 06473-3900
Fax
—
Last updated
May 1, 2017

Tamika Gordon is a Specialist, Prosthetics Case Management based in North Haven, CT. Tamika Gordon practices in North Haven, CT and has the professional credentials of CERTIFIED HAIR LOSS. The NPI Number for Tamika Gordon is 1235665977 and holds a License No. 052003 (CT). The current practice location address for Tamika Gordon is 33 Bernhard RD, North Haven, CT 06473-3900 and can be reached out via phone at 203-779-6466.

Provider Profile Details

NPI Number
1235665977
Provider Name
Tamika Gordon
Credential
CERTIFIED HAIR LOSS
Provider Entity Type
Individual
Gender
Female
Address
33 Bernhard RD, North Haven, CT 06473-3900
Phone Number
203-779-6466
Primary Taxonomy
Specialist, Prosthetics Case Management · 1744P3200X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2017
Last Update Date
May 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Bernhard RD
North Haven, CT 06473-3900
Zip
06473-3900
Phone Number
203-779-6466
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
2616 State St
Hamden, CT 06517-3006
City
Hamden
State
CT
Zip
06517-3006
Phone Number
203-737-0779

License Information

License Number
052003
License State
CT
Taxonomy
Specialist, Prosthetics Case Management · 1744P3200X · Primary

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 Tamika Gordon, CERTIFIED HAIR LOSS?

The NPI number of Tamika Gordon, CERTIFIED HAIR LOSS is 1235665977. It was assigned on May 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Tamika Gordon, CERTIFIED HAIR LOSS?

Tamika Gordon, CERTIFIED HAIR LOSS is registered under the primary taxonomy Specialist, Prosthetics Case Management (code 1744P3200X), licensed in CT under license number 052003.

Where does Tamika Gordon, CERTIFIED HAIR LOSS practice?

The practice location is 33 Bernhard RD, North Haven, CT 06473-3900. The office can be reached at 203-779-6466 (phone).

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 1235665977 directly on the NPPES registry website.

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