Individual
ROBERT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 WASHINGTON RD, SUITE 209, WESTMINSTER, MD 21157-5750
(410) 840-8203
(410) 751-2816
Mailing address
826 WASHINGTON RD, SUITE 209, WESTMINSTER, MD 21157-5750
(410) 840-8203
(410) 751-2816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D20554
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309904100
—
MD
Enumeration date
08/23/2005
Last updated
10/06/2011
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