Stacy Gordon is a Pediatrics in Philadelphia, Pennsylvania. Stacy Gordon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacy Gordon is 1821106758. The last update date is 2014-04-03.
Stacy Gordon's current location address is 100 E Penn Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2674259234 and fax number 2674259299. The mailing address for Stacy Gordon is 100 E Penn Sq, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Gordon |
|---|---|
| Address | 100 E Penn Sq, Philadelphia, Pennsylvania |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821106758 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2014-04-03 |
Provider Mailing Address Detail
| Address | 100 E Penn Sq |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191073323 |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD071070L |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1803790 | PA | -- |
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What is the unique 10-digit identification code assigned to Stacy Gordon by the Centers for Medicare & Medicaid Services?
The Stacy Gordon has been issued the NPI (National Provider Identifier) 1821106758, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stacy Gordon located?
The Stacy Gordon is located at 100 E Penn Sq, Philadelphia, PA 191073323.
What is Stacy Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy Gordon is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did Stacy Gordon receive its 1821106758 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Gordon was assigned its 1821106758 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stacy Gordon most recently updated or refreshed?
The details pertaining to the Stacy Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-04-03.
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