Active NPIIndividual providerSole proprietor

Dr. Joel P Gordon, MD

Dermatology in Springfield, Massachusetts

NPI Number1770553505
Practice location
3455 Main St, Suite 5, Springfield, MA 01107-1142
Fax
—
Last updated
February 10, 2017

Joel Peter Gordon is a Dermatology based in Springfield, MA. Joel Peter Gordon practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Joel Peter Gordon is 1770553505 and holds a License No. 78013 (MA). The current practice location address for Joel Peter Gordon is 3455 Main St, Suite 5, Springfield, MA 01107-1142 and can be reached out via phone at 413-733-9600.

Provider Profile Details

NPI Number
1770553505
Provider Name
Joel Peter Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3455 Main St, Suite 5, Springfield, MA 01107-1142
Phone Number
413-733-9600
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2006
Last Update Date
February 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
3455 Main St
Suite 5
Springfield, MA 01107-1142
Zip
01107-1142
Phone Number
413-733-9600
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
453 Audubon RD
Leeds, MA 01053-9771
City
Leeds
State
MA
Zip
01053-9771
Phone Number
413-585-9157

License Information

License Number
78013
License State
MA
Taxonomy
Dermatology · 207N00000X · 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 Dr. Joel P Gordon, MD?

The NPI number of Dr. Joel P Gordon, MD is 1770553505. It was assigned on January 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joel P Gordon, MD?

Dr. Joel P Gordon, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 78013.

Where does Dr. Joel P Gordon, MD practice?

The practice location is 3455 Main St, Suite 5, Springfield, MA 01107-1142. The office can be reached at 413-733-9600 (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 1770553505 directly on the NPPES registry website.

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