Individual
MR. ROBERT B GORDON
Active
Individual
MR. ROBERT B GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333300000X
Emergency Response System Companies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102563529
—
PA
Enumeration date
03/20/2013
Last updated
02/27/2020
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