National Provider Identifier
Gordon Paul Tussing Jr., D.O.
Gordon Paul Tussing Jr., D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Amherst, NY and a listed phone number of (716) 839-9113.
Profile Overview
- NPI
- 1750323291
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 11, 2006
- Last Updated
- April 11, 2024
Practice Location
- 4643 Main St
- Amherst, NY 14226-4551
Phone: (716) 839-9113
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1750323291
- Entity Type
- Individual
- Last Name
- Tussing
- First Name
- Gordon
- Middle Name
- Paul
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- D.O.
- Mailing Street Address
- 4643 Main St
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4551
- Mailing Country
- US
- Mailing Phone
- (716) 839-9113
- Mailing Fax
- (716) 839-3771
- Practice Street Address
- 4643 Main St
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-4551
- Practice Country
- US
- Practice Phone
- (716) 839-9113
- Practice Fax
- (716) 839-3771
- Enumeration Date
- June 11, 2006
- Last Updated
- April 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 16-1581909 (NY, Commercial Insurance), 0410988 (NY, Independent Health Assoc.), 00025069501 (NY, Univera Health Care), 005260131 (NY, Blue Cross)