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Individual
DR. IRA GORDON EARLY JR.
Active
Individual
DR. IRA GORDON EARLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18944
SC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
18944
SC
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
18944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0005
MEDICARE RAILROAD GROUP
SC
01
—
P00141794
MEDICARE RAILROAD PIN
SC
05
—
T29993
—
SC
Enumeration date
10/06/2005
Last updated
02/26/2013
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