Gordon, David A

Gordon, David A is an individual health care provider with primary practice located at 1493 Wethersfield Dr , Allentown PA 18104-1945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gordon, David A can be contacted via phone (610) 391-1178.

Contact Information

Primary practice address
1493 Wethersfield Dr Allentown PA 18104-1945
Phone: (610) 391-1178
Fax: (610) 391-9122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD042046E Pennsylvania

Profile Details

NPI number 1801889944
LBN Legal business name Gordon, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801889944 NPPES
Pennsylvania MEDICAID 0011442100007
Pennsylvania MEDICAID 0011442100008
Pennsylvania Other 423121

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