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Contact Information

GARY M GORDON DPM PC
2285 CROSS RD
GLENSIDE, PA19038
 Phone: 215-887-5910
 Fax: 215-887-0387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GARY M GORDON DPM PC · (Female)

NPI Number 1659455756
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 03/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # SC001507L
  • PA License # SC00L57L
  • Other 7305038 AETNA
  • Other 1991 AETNA HMO
  • Other 0060635000 KEYSTONE
  • Other 0000118918 PA BLUE SHIELD
  • Other 0060635000 PERSONAL CHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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