Organization
GORDON MEDICAL ASSOCIATES PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up