Organization
FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON RICHARD ECK DO (OWNER PHYSICIAN)
(610) 286-9000
Entity
Organization
Contact information
Practice address
11 SOUTH PINE STREET, ELVERSON, PA 19520-0420
(610) 286-9000
(610) 286-9410
Mailing address
11 SOUTH PINE STREET, P.O. BOX 420, ELVERSON, PA 19520-0420
(610) 286-9000
(610) 286-9410
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS-004444L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS-004444L
PA LICENSE NUMBER
PA
Enumeration date
02/02/2007
Last updated
08/11/2008
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