Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES FOX GORDON III, MD
Active Sole ProprietorCHARLES FOX GORDON III, MD is a Interventional Vascular Surgery healthcare provider located in CLIFTON PARK, New York. NPI 1649243890 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · CLIFTON PARK, NY
Registration Details
- NPI Number
- 1649243890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.530022784389 yrs)
- Last Updated
- Apr 19, 2023
- Licenses
-
1889491 (NY)1889491 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 OLD PLANK ROADSUITE 100CLIFTON PARK, NY, 120653107Browse NY providers · Browse ZIP 12065
- Phone
- 5183710777
- Fax
- 5183710366
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
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.