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Contact Information

BARRY J GORDON, DO
455 LEWIS AVE STE 221
MERIDEN, CT06451-2121
 Phone: 203-694-8550
 Fax: 203-694-7698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for BARRY J GORDON · (Male)

NPI # 1063515443
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/07/2006
Last updated 07/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 000511
  • CT Medicaid 001005116
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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