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Individual

GORDON P BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1000 NORLAND AVE, CHAMBERSBURG, PA 17201-4229
(717) 267-6363
(717) 217-6937
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003092L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103149700
PA
01
1386682425
HEALTH ASSURANCE
PA
01
25-1716306
PHCS/MULTIPLAN
PA
01
25-1716306
DEVON
01
50094063
CAPITAL BLUE CROSS
PA
01
626766
AETNA
PA
01
867633
MEDICARE GROUP #
PA
01
MA003092L
LICENSE
PA
Enumeration date
06/02/2006
Last updated
03/07/2023
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