Gordon, Robert H

Gordon, Robert H is an individual health care provider with primary practice located at 1425 Horsham Rd , North Wales PA 19454-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Gordon, Robert H can be contacted via phone (215) 371-3682.

Contact Information

Primary practice address
1425 Horsham Rd North Wales PA 19454-1320
Phone: (215) 371-3682
Fax: (215) 371-3039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 02134E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD021343E Pennsylvania

Profile Details

NPI number 1710901673
LBN Legal business name Gordon, Robert H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 1st, 2010 - about 15 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 1710901673 NPPES
Pennsylvania MEDICAID 1007600910035

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