Individual
DR. ANDREW G GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 MEDICAL PARKWAY, SUITE 100, ANNAPOLIS, MD 21401
(410) 573-1110
(410) 266-0714
Mailing address
2003 MEDICAL PARKWAY, SUITE 100, ANNAPOLIS, MD 21401
(410) 573-1110
(410) 266-0714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D31997
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
BCBS
DC
01
—
0401032
UNITED HEALTHCARE
—
01
—
110018449
MEDICARE RAILROAD
—
01
—
1496254
UNITED MINE WORKERS ASSOC
—
01
—
260082
MAMSI
—
05
—
409621500
—
MD
01
—
4141276
AETNA
—
01
—
41439701
BCBS
MD
01
—
P0217
PRINCIPLE
—
01
—
P11669
BCBS POINT OF SERVICE
—
Enumeration date
10/05/2006
Last updated
02/03/2010
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