person
Gary M Gordon, DPM
Foot & Ankle Surgery Podiatrist in Glenside, Pennsylvania
NPI 1689675449

Gary M Gordon is a Foot & Ankle Surgery Podiatrist based in Glenside, PA and is specialized in Foot & Ankle Surgery. Gary M Gordon practices in Glenside, PA and has the professional credentials of DPM. The NPI Number for Gary M Gordon is 1689675449 and holds a License No. SC001507L (Pennsylvania).

The current practice location address for Gary M Gordon 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, 19038-5023
person
Provider Profile Details
NPI Number
1689675449
Provider Name
Gary M Gordon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2285 Cross Rd, Glenside, PA, 19038-5023
Phone Number
215-887-5910
Fax Number
215-887-0387
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0015356250001 05 PA
7305038 01 PA AETNA
30002264 01 PA KEYSTONE MERCY
0060610000 01 PA KEYSTONE/AMERIHEALTH
institution
Provider Business Practice Location Address Details
Address
2285 Cross Rd
City
State
Zip
19038-5023
Phone Number
215-887-5910
Fax Number
215-887-0387
person
Provider Business Mailing Address Details
Address
2285 Cross Rd
City
State
Zip
19038-5023
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
License No.
SC001507L (Pennsylvania)
Definition
Definition to come...
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