Gordon, Gregory R
Gordon, Gregory R is an individual health care provider with primary practice located at 333 N Oxford Valley Rd Ste 201, Fairless Hills PA 19030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordon, Gregory R can be contacted via phone (215) 946-1500.Contact Information
Primary practice address
333 N Oxford Valley Rd Ste 201
Fairless Hills PA 19030
Phone: (215) 946-1500
Fax: (215) 946-3417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD034025E | Pennsylvania |
Profile Details
| NPI number | 1548204464 |
|---|---|
| LBN Legal business name | Gordon, Gregory R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548204464 | NPPES |
| Pennsylvania | Other | 7241941 | CIGNA PA |
| Pennsylvania | Other | 053505 | CIGNA PA |
| Pennsylvania | MEDICAID | 0010906390006 | CIGNA PA |
| Pennsylvania | Other | 0022624000 | CIGNA PA |
| Pennsylvania | Other | 4217615 | CIGNA PA |
| Pennsylvania | Other | 30165547 | CIGNA PA |
| Pennsylvania | Other | P01193810 | CIGNA PA |
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