Jonathan K. Gordon MD
Surgery Physician in Lawrence, MA(View on Map)
Full Name
Jonathan K Gordon MD
NPI Number
1568460483
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/13/2005
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
79322
Contact
Information
Purpose
Mailing
Location
Address
100 AMESBURY ST
100 AMESBURY ST
City
Lawrence
Lawrence
State
MA
MA
Postal Code
01840-1321
01840-1321
Country
US
US
Telephone Number
(978) 685-5474
(978) 685-5474
Identifiers
Identifier
3188396
Identifier State
MA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/04/2015
Provider Address
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