Individual
DR. DUDLEY R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8105 ADAMS DR, HUMMELSTOWN, PA 17036-8625
(717) 652-1211
(717) 652-4948
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 564-5400
(717) 564-7859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD022169E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009053290003
—
PA
01
—
50070215
CBC/CAIC
PA
01
—
5126044
AETNA
PA
Enumeration date
05/02/2006
Last updated
05/09/2019
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