Individual
DR. STEPHEN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7318 GREEN OAK TER, LANHAM, MD 20706-3843
(301) 552-5477
Mailing address
7318 GREEN OAK TER, LANHAM, MD 20706-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18364
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026845300
—
DC
01
—
A784 001
BC/BS OF NCA
DC
Enumeration date
07/18/2006
Last updated
05/01/2013
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