Gordon, Muriel M

Gordon, Muriel M is an individual health care provider with primary practice located at 501 Bath Rd , Bristol PA 19007-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gordon, Muriel M can be contacted via phone (215) 785-9070.

Contact Information

Primary practice address
501 Bath Rd Bristol PA 19007-3101
Fax: (215) 785-9021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD047843L Pennsylvania

Profile Details

NPI number 1639179732
LBN Legal business name Gordon, Muriel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 4th, 2012 - about 13 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 1639179732 NPPES
Pennsylvania MEDICAID 001628878

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