Gordon, Robert

Gordon, Robert is an individual health care provider with primary practice located at 826 Washington Rd Suite 209, Westminster MD 21157-5750. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gordon, Robert can be contacted via phone (410) 840-8203.

Contact Information

Primary practice address
826 Washington Rd Suite 209 Westminster MD 21157-5750
Phone: (410) 840-8203
Fax: (410) 751-2816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D20554 Maryland

Profile Details

NPI number 1225021546
LBN Legal business name Gordon, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 6th, 2011 - 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 1225021546 NPPES
Maryland MEDICAID 309904100

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