person
Arthur Erwin Gordon, MD
Gynecology Physician in Phila, Pennsylvania
NPI 1063496636

Arthur Erwin Gordon is a Gynecology Physician based in Phila, PA and is specialized in Gynecology. Arthur Erwin Gordon practices in Phila, PA and has the professional credentials of MD. The NPI Number for Arthur Erwin Gordon is 1063496636 and holds a License No. MD 025617L (Pennsylvania).

The current practice location address for Arthur Erwin Gordon is 9331 Old Bustleton Ave, Phila, PA and can be reached out via phone at 215-602-8900 and via fax at 215-602-8904.

Location: 9331 Old Bustleton Ave, Phila, PA, 19182-0933
person
Provider Profile Details
NPI Number
1063496636
Provider Name
Arthur Erwin Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9331 Old Bustleton Ave, Phila, PA, 19182-0933
Phone Number
215-602-8900
Fax Number
215-602-8904
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1075777 01 PA KMHP
0052699000 01 PA INDEPENDENCE BLUE CROSS
160058909 01 PA RR MEDICARE
001688938 05 PA
30038145 01 PA KMHP
0168893802 01 PA AMERICHOICE
2Y6155 01 PA HEALTH NET
5062 01 PA BRAVO HEALTH
0002101 01 PA AETNA HMO
4556714 01 PA AETNA PPO
0168893801 01 PA AMERICHOICE
institution
Provider Business Practice Location Address Details
Address
9331 Old Bustleton Ave
City
State
Zip
19115-4634
Phone Number
215-602-8900
Fax Number
215-602-8904
person
Provider Business Mailing Address Details
Address
9331 Old Bustleton Ave
City
State
Zip
19115-4634
Phone Number
215-602-8900
Fax Number
215-602-8904
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
MD 025617L (Pennsylvania)
Definition
Definition to come...
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