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Organization
GORDON PODIATRY, LLC
Active
Organization
GORDON PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA ANNE CANZANESE DPM (OWNER)
(215) 887-5910
Entity
Organization
Contact information
Practice address
2285 CROSS RD, GLENSIDE, PA 19038-5023
(215) 887-5910
(215) 887-0387
Mailing address
2285 CROSS RD, GLENSIDE, PA 19038-5023
(215) 887-5910
(215) 887-0387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006606
PA
Other
Enumeration date
12/20/2016
Last updated
12/27/2016
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