Gordon, Patricia L

Gordon, Patricia L is an individual health care provider with primary practice located at 500 University Dr Mc A410, Hershey PA 17033-2360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Gordon, Patricia L can be contacted via phone (717) 531-8414.

Contact Information

Primary practice address
500 University Dr Mc A410 Hershey PA 17033-2360
Fax: (717) 531-0221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD424782 Pennsylvania

Profile Details

NPI number 1548266257
LBN Legal business name Gordon, Patricia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 18th, 2019 - about 6 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 1548266257 NPPES
Pennsylvania MEDICAID 1015566460001
Pennsylvania MEDICAID 3898262

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