Gordon, Leonard F
Gordon, Leonard F is an sole proprietor health care provider with primary practice located at 8835 Germantown Ave , Philadelphia PA 19118-2718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gordon, Leonard F can be contacted via phone (215) 248-8906.Contact Information
Primary practice address
8835 Germantown Ave
Philadelphia PA 19118-2718
Phone: (215) 248-8906
Fax: (215) 248-8901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD021520E | Pennsylvania |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA05000400 | New Jersey |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD021520E | Pennsylvania |
Profile Details
NPI number | 1427097500 |
---|---|
LBN Legal business name | Gordon, Leonard F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2006 |
Last updated | Jul 27th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427097500 | NPPES |
Pennsylvania | MEDICAID | 0009070650021 | |
Pennsylvania | MEDICAID | 0907065 |
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