Individual
ALAN D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 SANDY LN STE 220, LEWISTOWN, PA 17044-1320
(717) 242-2514
(717) 242-3188
Mailing address
27 SANDY LN STE 220, LEWISTOWN, PA 17044-1320
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD020068E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011727250001
—
PA
Enumeration date
03/01/2007
Last updated
06/14/2010
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