Gordon, Gary

Gordon, Gary is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave Suite 137 Lankenau Medical Bldg., Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gordon, Gary can be contacted via phone (610) 896-8400.

Contact Information

Primary practice address
100 E Lancaster Ave Suite 137 Lankenau Medical Bldg. Wynnewood PA 19096-3450
Phone: (610) 896-8400
Fax: (610) 896-9652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD017706E Pennsylvania

Profile Details

NPI number 1225065774
LBN Legal business name Gordon, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Nov 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225065774 NPPES
Pennsylvania MEDICAID 11966

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