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Individual

BECKY J GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4222 LINCOLN HWY, YORK, PA 17406-8083
(717) 812-2050
(717) 812-2052
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-2050
(717) 812-2052

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD433863
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102125740
PA
01
119586
GEISINGER HEALTH PLAN
PA
01
20077599
AMERIHEALTH MERCY-WMG
PA
01
2038828
HIGHMARK BLUE SHIELD
PA
01
209954
JOHNS HOPKINS
PA
01
239924
UNISON-WMG
PA
01
50077636
CAPITAL BLUE CROSS-WMG
PA
01
929805-01
CAREFIRST MD BCBS
PA
01
9763177
AETNA
PA
01
P009309
GATEWAY-WMG
PA
Enumeration date
11/19/2007
Last updated
04/14/2014
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