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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GORDON THOMAS FAHEY JR., MD

Active

GORDON THOMAS FAHEY JR., MD is a General Surgery healthcare provider located in LODI, California. NPI 1457323446 is currently active in the NPPES registry. Verify at CMS.

General Surgery · LODI, CA

Registration Details

NPI Number
1457323446
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2006 (20.520645350326 yrs)
Last Updated
May 2, 2022
License
A78020 (CA)

Practice Information

Address
999 S FAIRMONT AVE
SUITE 100
LODI, CA, 952405100
Browse CA providers · Browse ZIP 95240
Phone
2093342010
Fax
2093340132
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in LODI, CA

Name Credential NPI
DR. ROLANDO G SIMEON MD 1457344293
DR. GEORGE W MOWRY MD 1760404065
DR. TONY M CHANG M.D. 1164445896
DR. DENNY SCHOCH M.D. 1104840800
DR. MICHAEL KETELAAR M. D. 1487705935
MR. ALEXANDER JOHANNES NEDOPIL M.D. 1326482142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.