Gordon, Robert Alan

Gordon, Robert Alan is an individual health care provider with primary practice located at 3912 Trindle Rd , Camp Hill PA 17011-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, Robert Alan can be contacted via phone (717) 761-8740.

Contact Information

Primary practice address
3912 Trindle Rd Camp Hill PA 17011-4246
Phone: (717) 761-8740
Fax: (717) 761-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD-015441-E Pennsylvania

Profile Details

NPI number 1689666018
LBN Legal business name Gordon, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689666018 NPPES
Pennsylvania MEDICAID 0009855260006
Pennsylvania MEDICAID 0006698760009

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