Stacy Gordon in Philadelphia - Pediatric Emergency Medicine
Stacy Gordon - NPI 1821106758
Stacy Gordon is a Pediatric Emergency Medicine in Philadelphia, Pennsylvania. Stacy Gordon practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. 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 |
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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 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2014-04-03 |
Provider Mailing Address Detail
Address | 100 E Penn Sq |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191073323 |
Phone Number | 2674259234 |
Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Emergency Medicine |
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Taxonomy | 2080P0204X |
Licence No | MD071070L |
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1803790 | PA | -- |
Post Comment/ Review Below
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 Pediatric Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 2080P0204X.
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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