Individual
GREGORY R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N OXFORD VALLEY RD, STE 201, FAIRLESS HILLS, PA 19030
(215) 946-1500
(215) 946-3417
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD034025E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010906390006
—
PA
01
—
0022624000
KEYSTONE IBC
PA
01
—
053505
HIGHMARK BLUE SHIELD
PA
01
—
30165547
KEYSTONE FIRST
PA
01
—
4217615
AETNA
PA
01
—
7241941
CIGNA PA
PA
01
—
P01193810
RAILROAD MEDICARE
PA
Enumeration date
06/15/2006
Last updated
05/20/2021
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