Gordon, Nina J.

Gordon, Nina J. is an individual health care provider with primary practice located at 11116 Medical Campus Rd , Hagerstown MD 21742-6710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gordon, Nina J. can be contacted via phone (301) 739-6144.

Contact Information

Primary practice address
11116 Medical Campus Rd Hagerstown MD 21742-6710
Phone: (301) 739-6144
Fax: (301) 739-6163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0057769 Maryland

Profile Details

NPI number 1962482554
LBN Legal business name Gordon, Nina J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 12th, 2020 - about 4 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 1962482554 NPPES
Maryland MEDICAID 692303801

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