Marilyn L Gordon (NPI# 1174562896, PAC ID# 6800822172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174562896 |
| PAC ID by PECOS | 6800822172 |
| Professional Enrollment ID | I20050711000057 |
| Full Name | Marilyn L Gordon |
| Organization Legal Name | CAMCARE HEALTH CORPORATION |
| Address |
2610 Federal St Camden NJ 08105-1936 |
| Phone Number | 8566350203 |
| Gender | F |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567365117 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS BERLIN |
| Address | Phone | Organization |
|---|---|---|
| 2610 Federal St, Camden, NJ 08105-1936 | 8566350203 | CAMCARE HEALTH CORPORATION |
| 817 Federal St, Camden, NJ 08103-1539 | 8565418217 | CAMCARE HEALTH CORPORATION |
| Organization Legal Name | CAMCARE HEALTH CORPORATION |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafia Nicola Grooms | Nurse Practitioner | Camcare Health Corporation | 1000 N 6th St, Camden, NJ 08102-2520 |
| Genean M Doyle | Nurse Practitioner | Camcare Health Corporation | 1315 N Delaware St, Paulsboro, NJ 08066-1367 |
| Stephanie A Santoro | Internal Medicine | Camcare Health Corporation | 6 Th and Erie St, Camden, NJ 08102-1707 |
| Jacqueline Cooke | Internal Medicine | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Dorian D Jackson | Nurse Practitioner | Camcare Health Corporation | 121 White Horse Pike, Clementon, NJ 08021-4158 |
| Richard A Hellander | Internal Medicine | Camcare Health Corporation | 817 Federal St, Camden, NJ 08103-1539 |
| Sabrina A Rabau | Obstetrics/gynecology | Camcare Health Corporation | 817 Federal St, Camden, NJ 08103-1539 |
| Ellen Wilson-dorsey | Nurse Practitioner | Camcare Health Corporation | 1000 N 6th St, Camden, NJ 08102-2520 |
| Carolyn Geibler | Registered Dietitian Or Nutrition Professional | Camcare Health Corporation | 817 Federal St, Camden, NJ 08103-1539 |
| Saeed Ahmed Butt | Internal Medicine | Camcare Health Corporation | 817 Federal St, Camden, NJ 08103-1539 |
| Street Address |
2610 FEDERAL ST |
| City | CAMDEN |
| State | NJ |
| Zip | 08105-1936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Cooke | Internal Medicine | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Antoinette Falconi Mccahill | Nurse Practitioner | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Casandra H Autry | Obstetrics/gynecology | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Karen Williams | Pediatric Medicine | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Eytan B Barnea | Obstetrics/gynecology | Camcare Health Corporation | 2610 Federal St, Camden, NJ 08105-1936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenda Rabie | Family Medicine | 309 Marlton Ave, Camden, NJ 08105-2124 | |
| Ramon Acosta | Family Practice | 2 Leonard Ave, Camden, NJ 08105-2404 | |
| Bao D Nguyen | Internal Medicine | 2706 Westfield Ave, Camden, NJ 08105-2427 | |
| Galia Wilk | Physician Assistant | Cooper Family Medicine PC | 1865 Harrison Ave, Suite 1300, Camden, NJ 08105-3602 |
| Mara H Gordon | Family Medicine | Cooper Family Medicine PC | 1865 Harrison Ave, Suite 1300, Camden, NJ 08105-3602 |
| Patrick Aime Ervilus | Nurse Practitioner | 2809 River Rd, Camden, NJ 08105-4426 |
| City | CAMDEN |
| Zip Code | 08105 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CAMDEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marilyn L Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.