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NPI Code Detail

MEDICARE: STEVEN F GORDON MD

MEDICARE: STEVEN F GORDON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25474IA
2207Q00000XFamily Medicine PhysicianMD444514PA

General Provider Information

NPI Number : 1700847365
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN F GORDON MD
Provider Business Mailing Address
First Line : 600 GRANT ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15219-2702
Country : US
Telephone Number : 724-733-1414
Fax Number : 712-252-5516
Provider Business Practice Location Address
First Line : 4614 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-2004
Country : US
Telephone Number : 712-252-2477
Fax Number : 712-252-5516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 07/17/2024

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