Provider Demographics
NPI:1154659084
Name:GORDON-LANGBEIN, AMIE LOUISE (DO)
Entity Type:Individual
Prefix:DR
First Name:AMIE
Middle Name:LOUISE
Last Name:GORDON-LANGBEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:402 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1818
Mailing Address - Country:US
Mailing Address - Phone:215-752-4020
Mailing Address - Fax:215-752-8807
Practice Address - Street 1:402 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1818
Practice Address - Country:US
Practice Address - Phone:215-752-4020
Practice Address - Fax:215-752-8807
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006858L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine