Provider Demographics
NPI:1003034034
Name:GORDON, SUSAN MASTER (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MASTER
Last Name:GORDON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1140 WHITE HORSE RD
Mailing Address - Street 2:SUITE1
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2106
Mailing Address - Country:US
Mailing Address - Phone:856-784-3366
Mailing Address - Fax:856-784-4388
Practice Address - Street 1:1140 WHITE HORSE RD
Practice Address - Street 2:SUITE1
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2106
Practice Address - Country:US
Practice Address - Phone:856-784-3366
Practice Address - Fax:856-784-4388
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08373200207W00000X
PAMD441470207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology