| Mrs Sandra Shepherd Gordon, PA | |
|
85 Retreat Ave, Hartford, CT 06106-2555 | |
| (860) 972-4183 | |
| Not Available |
| Full Name | Mrs Sandra Shepherd Gordon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 33 Years |
| Location | 85 Retreat Ave, Hartford, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982031159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5070 (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | 017044 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Hospital | 2567366016 | 892 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Shepherd Gordon, PA 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140 Ph: (914) 909-9018 | Mrs Sandra Shepherd Gordon, PA 85 Retreat Ave, Hartford, CT 06106-2555 Ph: (860) 972-4183 |
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