DR. NEIL ALAN GORDON M.D. NPI 1780734608

NPI Information

NPI: 1780734608
Provider Name: DR. NEIL ALAN GORDON, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

CLIA Number: 07D1057681

Address:
539 DANBURY RD
WILTON, CT
ZIP 06897
Phone: (203) 834-7700
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DR. Neil Alan Gordon, M.D. is a facial plastic surgery otolaryngology in Wilton, CT. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Neil Alan Gordon, M.D. NPI is 1780734608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

539 DANBURY RD
WILTON, CT
ZIP 06897-216
Phone: (203) 834-7700
Fax: (203) 834-8877

The CLIA number assigned to this NPI record is 07D1057681 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	035181	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G28230	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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