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Dr. Jonathan Gusdorff, DO
Diagnostic Radiology Physician in Havertown, Pennsylvania
NPI 1891792255

Jonathan Gusdorff is a Diagnostic Radiology Physician based in Havertown, PA and is specialized in Diagnostic Radiology. Jonathan Gusdorff practices in Havertown, PA and has the professional credentials of DO. The NPI Number for Jonathan Gusdorff is 1891792255 and holds a License No. 02005865A (Pennsylvania).

The current practice location address for Jonathan Gusdorff is 1305 W Chester Pike, Havertown, PA and can be reached out via phone at 610-482-4949 and via fax at 610-482-4950.

Location: 1305 W Chester Pike, Havertown, PA, 19083-2929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891792255
Provider Name
Jonathan Gusdorff
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1305 W Chester Pike, Havertown, PA, 19083-2929
Phone Number
610-482-4949
Fax Number
610-482-4950
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200114580A 05 OK
institution
Provider Business Practice Location Address Details
Address
1305 W Chester Pike
City
Havertown
State
Pennsylvania
Zip
19083-2929
Phone Number
610-482-4949
Fax Number
610-482-4950
person
Provider Business Mailing Address Details
Address
1305 W Chester Pike
City
Havertown
State
Pennsylvania
Zip
19083-2929
Phone Number
610-482-4949
Fax Number
610-482-4950
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OS010370L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
4519 (Oklahoma)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
02005865A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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