Active NPIIndividual provider

Mara Gordon, MD

Family Medicine in Camden, New Jersey

NPI Number1730575630
Practice location
1865 Harrison Ave Ste 1300, Camden, NJ 08105
Fax
—
Last updated
August 27, 2019

Mara Gordon is a Family Medicine based in Camden, NJ. Mara Gordon practices in Camden, NJ and has the professional credentials of MD. The NPI Number for Mara Gordon is 1730575630 and holds a License No. MD046249 (DC). The current practice location address for Mara Gordon is 1865 Harrison Ave Ste 1300, Camden, NJ 08105 and can be reached out via phone at 856-963-0126.

Provider Profile Details

NPI Number
1730575630
Provider Name
Mara Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1865 Harrison Ave Ste 1300, Camden, NJ 08105
Phone Number
856-963-0126
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 8, 2015
Last Update Date
August 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1865 Harrison Ave Ste 1300
Camden, NJ 08105
City
Camden
Zip
08105
Phone Number
856-963-0126
Camden, NJ 08105Get directions →

Provider Business Mailing Address Details

Address
1 Federal St # 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
856-356-4924

License Information

License Number (1)
MD046249
License State (1)
DC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MA10625600
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Mara Gordon, MD?

The NPI number of Mara Gordon, MD is 1730575630. It was assigned on April 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Mara Gordon, MD?

Mara Gordon, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in DC under license number MD046249.

Where does Mara Gordon, MD practice?

The practice location is 1865 Harrison Ave Ste 1300, Camden, NJ 08105. The office can be reached at 856-963-0126 (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 1730575630 directly on the NPPES registry website.

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