National Provider Identifier
Jeffrey B Gordon, MD
Jeffrey B Gordon, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 922-4200.
Profile Overview
- NPI
- 1174620579
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- September 20, 2006
- Last Updated
- January 28, 2010
Practice Location
- 1415 Portland Ave
- Ste 400
- Rochester, NY 14621-3038
Phone: (585) 922-4200
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1174620579
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Jeffrey
- Middle Name
- B
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1415 Portland Ave
- Mailing Address Line 2
- Ste 400
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 922-4200
- Practice Street Address
- 1415 Portland Ave
- Practice Address Line 2
- Ste 400
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-4200
- Enumeration Date
- September 20, 2006
- Last Updated
- January 28, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 00958443 (NY)