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Individual

DR. ROBERT MICHAEL GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1020 SANSOM ST STE 1652, PHILADELPHIA, PA 19107-5002
(215) 456-9015
Mailing address
1020 SANSOM ST STE 1652, PHILADELPHIA, PA 19107-5002

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT020092
PA

Other

Enumeration date
06/10/2020
Last updated
06/27/2024
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