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Individual
DR. ANDREW G GORDON
Active
Individual
DR. ANDREW G GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D31997
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
BCBS
DC
01
—
0401032
UNITED HEALTHCARE
—
01
—
110018449
MEDICARE RAILROAD
—
01
—
1496254
UNITED MINE WORKERS ASSOC
—
01
—
260082
MAMSI
—
05
—
409621500
—
MD
01
—
4141276
AETNA
—
01
—
41439701
BCBS
MD
01
—
P0217
PRINCIPLE
—
01
—
P11669
BCBS POINT OF SERVICE
—
Enumeration date
10/05/2006
Last updated
02/03/2010
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