Malcolm Gordon, MD
Internal Medicine in San Jose, CA. Individual provider (NPI-1).
NPI number1417033366
StatusActive
Last updated in NPPESJul 19, 2019
Details
- NPI
- 1417033366
- Entity type
- Individual (NPI-1)
- Name
- Malcolm Gordon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2006
- Last updated
- Jul 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | G40447 | CA | Yes |
Practice location
260 International CirSan Jose, CA 95119-1130
Phone 408-972-7000
Mailing address
106 Robin WayLos Gatos, CA 95032-5642
Phone 408-656-4007 · Fax 408-993-9833
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