Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN K GORDON, MD
Active Sole ProprietorJONATHAN K GORDON, MD is a General Surgery healthcare provider located in LAWRENCE, Massachusetts. NPI 1568460483 is currently active in the NPPES registry. Verify at CMS.
General Surgery · LAWRENCE, MA
Registration Details
- NPI Number
- 1568460483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2005 (21.109617679134 yrs)
- Last Updated
- Mar 4, 2015
- Licenses
-
79322 (MA)79322 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 AMESBURY STSUITE 113LAWRENCE, MA, 018401321Browse MA providers · Browse ZIP 01840
- Phone
- 9786855474
- Fax
- 9786890493
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Vascular Surgery
Other General Surgery Providers in LAWRENCE, MA
| Name | Credential | NPI |
|---|---|---|
| PAULA M MUTO | MD | 1447258363 |
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.