Individual
HILLARY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 E LANCASTER AVE STE 200, ARDMORE, PA 19003-2395
(610) 642-1643
(610) 642-0245
Mailing address
233 E LANCASTER AVE STE 200, ARDMORE, PA 19003-2321
(610) 642-0245
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
C1-0012218
DE
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD454558
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
DE
05
—
PENDING
—
PA
Enumeration date
03/26/2012
Last updated
02/13/2025
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