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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SANDRA SHEPHERD GORDON, PA

Active Sole Proprietor

MRS. SANDRA SHEPHERD GORDON, PA is a Medical Physician Assistant healthcare provider located in HARTFORD, Connecticut. NPI 1982031159 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HARTFORD, CT

Registration Details

NPI Number
1982031159
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2013 (12.845665746264 yrs)
Last Updated
Feb 6, 2023
Licenses
5070 (CT)
017044 (NY)
Sole Proprietor
Yes

Practice Information

Address
85 RETREAT AVE
HARTFORD, CT, 061062555
Browse CT providers · Browse ZIP 06106
Phone
8609724183
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in HARTFORD, CT

Name Credential NPI
MRS. GABRIELLA ELIZABETH SMITH P.A. 1700883709
KENNETH IRA WATKINS PA 1821097890
RAYMOND DUNNE PA 1770583981
KARA M. PACELIA PA-C 1023005220
MRS. CHRISTINE COSENZA PA 1174500086
RICHARD A BUCKBERG PA 1790763050
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.