Ally Gordon in Owings Mills - Physician Assistant

Ally Gordon - NPI 1487832663

Ally Gordon is a Physician Assistant in Owings Mills, Maryland. Ally Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ally Gordon is 1487832663. The last update date is 2014-04-29.

Ally Gordon's current location address is 25 Crossroads Dr, Owings Mills, Maryland. You can contact this provider via phone number 4105811600. The mailing address for Ally Gordon is 25 Crossroads Dr, Owings Mills, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Ally Gordon
Address 25 Crossroads Dr, Owings Mills, Maryland
Phone Number 4105811600
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1487832663
Provider Enumeration Date 2008-02-10
Last Updated Date 2014-04-29

Provider Mailing Address Detail

Address 25 Crossroads Dr
City Owings Mills
State Maryland (MD)
Post Code 211175421
Phone Number 4105811600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C0003380
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Ally Gordon

What is the unique 10-digit identification code assigned to Ally Gordon by the Centers for Medicare & Medicaid Services?

The Ally Gordon has been issued the NPI (National Provider Identifier) 1487832663, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ally Gordon is located?

The Ally Gordon is situated at the following address: 25 Crossroads Dr, Owings Mills, MD, 211175421.

What is Ally Gordon's area of expertise and its corresponding taxonomy classification?

The Ally Gordon's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Ally Gordon receive the assignment of its 1487832663 from the Centers for Medicare & Medicaid Services?

The Ally Gordon was issued its 1487832663 by the Centers for Medicare & Medicaid Services on 2008-02-10.

As of what date were the details pertaining to Ally Gordon last refreshed?

The information related to the Ally Gordon, including its address, specialty, and other relevant details, was last updated on 2014-04-29.

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