Active NPIIndividual provider

Marion B Gordon, PT

Physical Therapist in Fanwood, New Jersey

NPI Number1942476973
Practice location
164 Russell RD, Fanwood, NJ 07023-1064
Fax
—
Last updated
April 30, 2008

Marion Beth Gordon is a Physical Therapist based in Fanwood, NJ. Marion Beth Gordon practices in Fanwood, NJ and has the professional credentials of PT. The NPI Number for Marion Beth Gordon is 1942476973 and holds a License No. 40QA004501 (NJ). The current practice location address for Marion Beth Gordon is 164 Russell RD, Fanwood, NJ 07023-1064 and can be reached out via phone at 908-322-1855.

Provider Profile Details

NPI Number
1942476973
Provider Name
Marion Beth Gordon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
164 Russell RD, Fanwood, NJ 07023-1064
Phone Number
908-322-1855
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2008
Last Update Date
April 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
164 Russell RD
Fanwood, NJ 07023-1064
Zip
07023-1064
Phone Number
908-322-1855
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
164 Russell RD
Fanwood, NJ 07023-1064
City
Fanwood
State
NJ
Zip
07023-1064
Phone Number
908-322-1855

License Information

License Number
40QA004501
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Marion B Gordon, PT?

The NPI number of Marion B Gordon, PT is 1942476973. It was assigned on April 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Marion B Gordon, PT?

Marion B Gordon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA004501.

Where does Marion B Gordon, PT practice?

The practice location is 164 Russell RD, Fanwood, NJ 07023-1064. The office can be reached at 908-322-1855 (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 1942476973 directly on the NPPES registry website.

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