Organization
GARY GORDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GORDON M.D. (OWNER)
(610) 896-8400
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, 137 LANKENAU MEDICAL BLDG., WYNNEWOOD, PA 19096-3450
(610) 896-8400
(610) 896-8400
Mailing address
100 E LANCASTER AVE., 137 LANKENAU MEDICAL BLDG., WYNNEWOOD, PA 19096-3450
(610) 896-8400
(610) 896-8400
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD017706E
PA
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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