Provider Demographics
NPI:1306440664
Name:GORDON, SEAN CHRISTOPHER (RPH)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:GORDON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2281 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1717
Mailing Address - Country:US
Mailing Address - Phone:609-584-5851
Mailing Address - Fax:609-584-7912
Practice Address - Street 1:2281 ROUTE 33
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1717
Practice Address - Country:US
Practice Address - Phone:609-584-5851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03589200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist