Individual
MR. DANIEL DELANO GORDON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 W STATE ST FL 2, MEDIA, PA 19063-3105
(610) 602-9703
(610) 602-9739
Mailing address
206 W STATE ST FL 2, MEDIA, PA 19063-3105
(610) 602-9703
(610) 602-9739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10360501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043259740001
—
PA
Enumeration date
09/03/2025
Last updated
09/03/2025
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