GARY M GORDON DPM PC; NPI #1659455756

Contact Information

GARY M GORDON DPM PC

2285 CROSS RD
GLENSIDE, PA 19038

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

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NPI Profile & details for GARY M GORDON DPM PC

NPI # 1659455756

LBN Legal business name GARY M GORDON DPM PC

Authorized official GARY GORDON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2006

Last updated 03/18/2008 - About 18 years ago

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

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GARY M GORDON DPM PC

Contact Information

Specialty

Surgery, Foot & Ankle

Durable Medical Equipment & Medical Supplies

NPI Profile & details for GARY M GORDON DPM PC

Reviews for GARY M GORDON DPM PC