Individual provider · Type 1 NPI

Benjamin Gordon

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1992564926 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (732) 691-6689 Map

Mailing address

188 Lafayette St Apt 513
New Haven, CT 06519-1791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992564926

Benjamin Gordon's National Provider Identifier is 1992564926, issued on Mar 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 13, 2025.