Individual
GORDON W. WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 GALER DR, NEWTOWN SQUARE, PA 19073-3518
(610) 353-1181
Mailing address
841 GALER DR, NEWTOWN SQUARE, PA 19073-3518
(610) 353-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD006475E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD006719
MEDICAL LICENSE - PA
PA
Enumeration date
07/28/2009
Last updated
07/29/2009
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