Dr. Jeffrey A Gordon, MD
Internal Medicine, Hematology & Oncology in Southbridge, Massachusetts
1609857119- Practice location
- 55 Sayles St, Southbridge, MA 01550-1729
- Phone
- 508-764-2400
- Fax
- 508-909-7770
- Last updated
- November 18, 2024
Jeffrey A Gordon is an Internal Medicine, Hematology & Oncology based in Southbridge, MA. Jeffrey A Gordon practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Jeffrey A Gordon is 1609857119 and holds a License No. 36423 (CT). The current practice location address for Jeffrey A Gordon is 55 Sayles St, Southbridge, MA 01550-1729 and can be reached out via phone at 508-764-2400 and via fax at 508-909-7770.
Provider Profile Details
- NPI Number
- 1609857119
- Provider Name
- Jeffrey A Gordon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Sayles St, Southbridge, MA 01550-1729
- Phone Number
- 508-764-2400
- Fax Number
- 508-909-7770
- Primary Taxonomy
- Internal Medicine, Hematology & Oncology · 207RH0003X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 10, 2005
- Last Update Date
- November 18, 2024
- Certification Date
- November 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Sayles St
Southbridge, MA 01550-1729 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-1729
- Phone Number
- 508-764-2400
- Fax Number
- 508-909-7770
Provider Business Mailing Address Details
- Address
- 39 May Brk
Woodstock, CT 06281-1819 - City
- Woodstock
- State
- CT
- Zip
- 06281-1819
- Phone Number
- 860-963-1183
- Fax Number
- 609-631-1898
License Information
- License Number (1)
- 36423
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine, Hematology & Oncology · 207RH0003X
- License Number (2)
- 150280
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Hematology & Oncology · 207RH0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Hematology & Oncology providers near Southbridge, MA
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Frequently Asked Questions
What is the NPI number of Dr. Jeffrey A Gordon, MD?
The NPI number of Dr. Jeffrey A Gordon, MD is 1609857119. It was assigned on November 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeffrey A Gordon, MD?
Dr. Jeffrey A Gordon, MD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in CT under license number 36423.
Where does Dr. Jeffrey A Gordon, MD practice?
The practice location is 55 Sayles St, Southbridge, MA 01550-1729. The office can be reached at 508-764-2400 (phone) or 508-909-7770 (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 1609857119 directly on the NPPES registry website.