Individual
GORDON R DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4103 MAIN ST, ELVERSON, PA 19520-9378
(610) 286-9064
(610) 286-7832
Mailing address
4103 MAIN ST, ELVERSON, PA 19520-9378
(610) 286-9064
(610) 286-7832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006437L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080053959
TRAVELERS MEDICARE
PA
Enumeration date
09/15/2005
Last updated
06/07/2024
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