Lutchman, Gordon D

Lutchman, Gordon D is an individual health care provider with primary practice located at 8352 Bustleton Ave , Philadelphia PA 19152-1909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lutchman, Gordon D can be contacted via phone (215) 809-1445.

Contact Information

Primary practice address
8352 Bustleton Ave Philadelphia PA 19152-1909
Phone: (215) 809-1445
Fax: (224) 235-4652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA04510100 New Jersey
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 164843-1 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X MD456515 Pennsylvania

Profile Details

NPI number 1548270861
LBN Legal business name Lutchman, Gordon D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 12th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548270861 NPPES
New York MEDICAID 01034257
New York MEDICAID 0533033
New York MEDICAID 1031022030001

Popular Providers