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Individual

ALLY GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
21 CROSSROADS DR, SUITE 200, OWINGS MILLS, MD 21117-5441
(410) 581-1600
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(410) 581-1600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003380
MD

Other

Enumeration date
02/10/2008
Last updated
04/29/2014
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