Dr. Joel P Gordon, MD
Dermatology in Springfield, Massachusetts
1770553505- Practice location
- 3455 Main St, Suite 5, Springfield, MA 01107-1142
- Phone
- 413-733-9600
- 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 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1142
- Phone Number
- 413-733-9600
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Springfield, MA
View all Dermatology providers in Springfield →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.