| Dr Jonathan Mark Gordon, MD | |
|
21 South St, Ridgefield, CT 06877-4102 | |
| (203) 438-6541 | |
| Not Available |
| Full Name | Dr Jonathan Mark Gordon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 21 South St, Ridgefield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124057005 | NPI | - | NPPES |
| 1179985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017998 (Connecticut) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 017998 (Connecticut) | Secondary |
| Entity Name | Danbury Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Mark Gordon, MD 21 South St, Ridgefield, CT 06877-4102 Ph: (203) 438-6541 | Dr Jonathan Mark Gordon, MD 21 South St, Ridgefield, CT 06877-4102 Ph: (203) 438-6541 |
Dr. Cristina Hangwa Hung, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 Pheasant Ln, Ridgefield, CT 06877 Phone: 917-755-6040 | |
Saragur M Jyothi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 580 Barrack Hill Rd, Ridgefield, CT 06877 Phone: 203-431-8836 | |
Robert L Ruxin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect St, Suite 300, Ridgefield, CT 06877 Phone: 203-438-7339 | |
Dr. Frank A Delli Carpini, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 67 Nutmeg Rdg, Ridgefield, CT 06877 Phone: 203-948-0543 Fax: 203-739-0405 | |
Dr. Edward R Berman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect St, Ridgefield, CT 06877 Phone: 203-438-0364 Fax: 203-438-2549 | |
Dr. Robin B Forman Rose, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 38c Grove St, Ridgefield, CT 06877 Phone: 203-900-4416 Fax: 203-666-5649 |