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Gary M Gordon Dpm Pc
Durable Medical Equipment & Medical Supplies in Glenside, Pennsylvania
NPI 1659455756

Gary M Gordon Dpm Pc is a Durable Medical Equipment & Medical Supplies based in Glenside, PA. Gary M Gordon Dpm Pc practices in Glenside, PA. The NPI Number for Gary M Gordon Dpm Pc is 1659455756 and holds a License No. SC00L57L (Pennsylvania).

The current practice location address for Gary M Gordon Dpm Pc is 2285 Cross Rd, Glenside, PA and can be reached out via phone at 215-887-5910 and via fax at 215-887-0387.

Location: 2285 Cross Rd, Glenside, PA, 19038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659455756
Provider Name
Gary M Gordon Dpm Pc
Credential
Provider Entity Type
Organization
Address
2285 Cross Rd, Glenside, PA, 19038
Phone Number
215-887-5910
Fax Number
215-887-0387
Provider Enumeration Date
10/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1991 01 AETNA HMO
0060635000 01 KEYSTONE
0000118918 01 PA BLUE SHIELD
0060635000 01 PERSONAL CHOICE
7305038 01 AETNA
institution
Provider Business Practice Location Address Details
Address
2285 Cross Rd
City
Glenside
State
Pennsylvania
Zip
19038
Phone Number
215-887-5910
Fax Number
215-887-0387
person
Provider Business Mailing Address Details
Address
2285 Cross Rd
City
Glenside
State
Pennsylvania
Zip
19038
Phone Number
215-887-5910
Fax Number
215-887-0387
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC001507L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
SC00L57L (Pennsylvania)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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