Provider Demographics
NPI:1144537796
Name:GORDON, JOEL SPENCER (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:SPENCER
Last Name:GORDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8319 TURNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-5492
Mailing Address - Country:US
Mailing Address - Phone:301-365-0724
Mailing Address - Fax:301-365-0724
Practice Address - Street 1:8319 TURNBERRY CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-5492
Practice Address - Country:US
Practice Address - Phone:301-365-0724
Practice Address - Fax:301-365-0724
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0002431207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology