Active NPIIndividual provider

Donald E Gordon, PA

Physician Assistant in East Hartford, Connecticut

NPI Number1912004979
Practice location
99 E River Dr, 5TH Floor, East Hartford, CT 06108-3288
Fax
860-289-0746
Last updated
May 6, 2014

Donald E. Gordon is a Physician Assistant based in East Hartford, CT. Donald E. Gordon practices in East Hartford, CT and has the professional credentials of PA. The NPI Number for Donald E. Gordon is 1912004979 and holds a License No. 000365 (CT). The current practice location address for Donald E. Gordon is 99 E River Dr, 5TH Floor, East Hartford, CT 06108-3288 and can be reached out via phone at 860-282-4022 and via fax at 860-289-0746.

Provider Profile Details

NPI Number
1912004979
Provider Name
Donald E. Gordon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
99 E River Dr, 5TH Floor, East Hartford, CT 06108-3288
Phone Number
860-282-4022
Fax Number
860-289-0746
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
May 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 E River Dr
5TH Floor
East Hartford, CT 06108-3288
Zip
06108-3288
Phone Number
860-282-4022
Fax Number
860-289-0746
East Hartford, CT 06108Get directions →

Provider Business Mailing Address Details

Address
99 E River Dr
5TH Floor
East Hartford, CT 06108-3288
City
East Hartford
State
CT
Zip
06108-3288
Phone Number
860-282-4022
Fax Number
860-289-0746

License Information

License Number
000365
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Donald E Gordon, PA?

The NPI number of Donald E Gordon, PA is 1912004979. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Donald E Gordon, PA?

Donald E Gordon, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000365.

Where does Donald E Gordon, PA practice?

The practice location is 99 E River Dr, 5TH Floor, East Hartford, CT 06108-3288. The office can be reached at 860-282-4022 (phone) or 860-289-0746 (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 1912004979 directly on the NPPES registry website.

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