Gordon, Marvin Ralph
Gordon, Marvin Ralph is an individual health care provider with primary practice located at 4740 Dickinson Way , Doylestown PA 18902-6522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gordon, Marvin Ralph can be contacted via phone (215) 794-2528.Contact Information
Primary practice address
4740 Dickinson Way
Doylestown PA 18902-6522
Phone: (215) 794-2528
Fax: (267) 544-0105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-032073-E | Pennsylvania |
Profile Details
| NPI number | 1043256340 |
|---|---|
| LBN Legal business name | Gordon, Marvin Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 4th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043256340 | NPPES |
| Pennsylvania | MEDICAID | 1049356 |
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