Organization
GORDON MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON K IJELU M.D (MEDICAL DIRECTOR)
(215) 924-2244
Entity
Organization
Contact information
Practice address
6329 N BROAD ST, PHILADELPHIA, PA 19141-2009
(215) 924-2244
(215) 924-2228
Mailing address
121 MUIRFIELD DR, BLUE BELL, PA 19422-1295
(215) 924-2244
(215) 924-2228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD044243E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1243184
—
PA
Enumeration date
05/20/2006
Last updated
12/21/2012
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