Stephen Jacob Gordin in Campobello - Diagnostic Radiology
Stephen Jacob Gordin - NPI 1386668879
Stephen Jacob Gordin is a Diagnostic Radiology in Campobello, South Carolina. Stephen Jacob Gordin practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen Jacob Gordin is 1386668879. The last update date is 2022-04-01.
Stephen Jacob Gordin's current location address is 225 Stable Gate Dr, Campobello, South Carolina. You can contact this provider via phone number 8644685570. The mailing address for Stephen Jacob Gordin is 225 Stable Gate Dr, Campobello, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Jacob Gordin |
|---|---|
| Address | 225 Stable Gate Dr, Campobello, South Carolina |
| Phone Number | 8644685570 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386668879 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2022-04-01 |
Provider Mailing Address Detail
| Address | 225 Stable Gate Dr |
|---|---|
| City | Campobello |
| State | South Carolina (SC) |
| Post Code | 293228037 |
| Phone Number | 8644685570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 16566 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165662 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Jacob Gordin by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Jacob Gordin has been assigned the NPI (National Provider Identifier) 1386668879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stephen Jacob Gordin located?
The Stephen Jacob Gordin is located at 225 Stable Gate Dr, Campobello, SC 293228037.
What is Stephen Jacob Gordin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Jacob Gordin is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Stephen Jacob Gordin receive the assignment of its 1386668879 from the Centers for Medicare & Medicaid Services?
The Stephen Jacob Gordin was issued its 1386668879 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information pertaining to Stephen Jacob Gordin most recently updated or revised?
The details related to Stephen Jacob Gordin, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-01.
NPI Number: 1982607784
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