Gordon D Lutchman
Surgery in Philadelphia, Pennsylvania
1548270861- Practice location
- 8352 Bustleton Ave, Philadelphia, PA 19152-1909
- Phone
- 215-809-1445
- Fax
- 224-235-4652
- Last updated
- November 12, 2018
Gordon D Lutchman is a Surgery based in Philadelphia, PA. Gordon D Lutchman practices in Philadelphia, PA. The NPI Number for Gordon D Lutchman is 1548270861 and holds a License No. 25MA04510100 (NJ). The current practice location address for Gordon D Lutchman is 8352 Bustleton Ave, Philadelphia, PA 19152-1909 and can be reached out via phone at 215-809-1445 and via fax at 224-235-4652.
Provider Profile Details
- NPI Number
- 1548270861
- Provider Name
- Gordon D Lutchman
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 8352 Bustleton Ave, Philadelphia, PA 19152-1909
- Phone Number
- 215-809-1445
- Fax Number
- 224-235-4652
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 9, 2006
- Last Update Date
- November 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8352 Bustleton Ave
Philadelphia, PA 19152-1909 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19152-1909
- Phone Number
- 215-809-1445
- Fax Number
- 224-235-4652
Provider Business Mailing Address Details
- Address
- Po Box 791
Northbrook, IL 60065-0791 - City
- Northbrook
- State
- IL
- Zip
- 60065-0791
- Phone Number
- 847-593-8460
- Fax Number
- 224-235-4652
License Information
- License Number (1)
- 25MA04510100
- License State (1)
- NJ
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 164843-1
- License State (2)
- NY
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X
- License Number (3)
- MD456515
- License State (3)
- PA
- Taxonomy (3)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Philadelphia, PA
View all Surgery providers in Philadelphia →Frequently Asked Questions
What is the NPI number of Gordon D Lutchman?
The NPI number of Gordon D Lutchman is 1548270861. It was assigned on August 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Gordon D Lutchman?
Gordon D Lutchman is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA04510100.
Where does Gordon D Lutchman practice?
The practice location is 8352 Bustleton Ave, Philadelphia, PA 19152-1909. The office can be reached at 215-809-1445 (phone) or 224-235-4652 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548270861 directly on the NPPES registry website.