Individual
GORDON A PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Contact information
Practice address
3401 N BROAD ST, 2ND FLOOR, PHILADELPHIA, PA 19140-5103
(215) 707-4353
(215) 707-2053
Mailing address
PO BOX 827783, PHILADELPHIA, PA 19182-7783
(215) 707-2930
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
DS030417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010266950001
—
PA
Enumeration date
10/12/2005
Last updated
02/12/2010
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