Individual provider · Type 1 NPI

Matthew Ainey Gordon, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1003962804 Active

Practice location

20 York St, 3rd Floor West Pavilion, Cticu
New Haven, CT 06510-3220

Call (203) 785-2702 Map

Fax (203) 785-3346

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3762 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1003962804

Matthew Ainey Gordon, PA-C's National Provider Identifier is 1003962804, issued on Jan 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Feb 2, 2017.