person
Stefanie B Gordon, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1558678144

Stefanie B Gordon is a Medical Physician Assistant based in Havertown, PA and is specialized in Medical. Stefanie B Gordon practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Stefanie B Gordon is 1558678144 and holds a License No. MA054525 (Pennsylvania).

The current practice location address for Stefanie B Gordon is 822 Pine St Ste 4B, Philadelphia, PA and can be reached out via phone at 215-829-8110 and via fax at 215-829-8119.

Location: 822 Pine St Ste 4B, Philadelphia, PA, 19083-3725
person
Provider Profile Details
NPI Number
1558678144
Provider Name
Stefanie B Gordon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
822 Pine St Ste 4B, Philadelphia, PA, 19083-3725
Phone Number
215-829-8110
Fax Number
215-829-8119
Provider Enumeration Date
09/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134439037 05 PA
institution
Provider Business Practice Location Address Details
Address
822 Pine St Ste 4B
City
State
Zip
19107-6187
Phone Number
215-829-8110
Fax Number
215-829-8119
person
Provider Business Mailing Address Details
Address
822 Pine St Ste 4B
City
State
Zip
19107-6187
Phone Number
215-829-8110
Fax Number
215-829-8119
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA054525 (Pennsylvania)
Definition
Definition to come...
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