Individual
DR. SANFORD GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
788 ELM SPRING RD, PITTSBURGH, PA 15243-1004
(412) 561-8966
(412) 561-3249
Mailing address
788 ELM SPRING RD, PITTSBURGH, PA 15243-1004
(412) 561-8966
(412) 561-3249
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05001753L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05001753L
LICENSE NUMBER
PA
01
—
428939
BLUE SHIELD
PA
Enumeration date
10/24/2006
Last updated
07/08/2007
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