Individual
GORDON S ZEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(215) 427-5800
(215) 427-5767
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4097
(215) 203-3000
(215) 203-3011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP019765
PA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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