| Dr Donald R Gordon & Associates | |
|
3 Pine Tree Dr Broomall PA 19008-2740 | |
| (484) 485-7156 | |
| Not Available |
| Full Name | Dr Donald R Gordon & Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3 Pine Tree Dr, Broomall, Pennsylvania |
| Authorized Official Name and Position | Donald R Gordon (PRESIDENT) |
| Authorized Official Contact | 4844857156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald R Gordon & Associates 3 Pine Tree Dr Broomall PA 19008-2740 Ph: (484) 485-7156 | Dr Donald R Gordon & Associates 3 Pine Tree Dr Broomall PA 19008-2740 Ph: (484) 485-7156 |
| NPI Number | 1700905478 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700905478 | NPI | - | NPPES |
| 2633 | Other | PA | AETNA |
| 0032775000 | Other | PA | INDEPENDENCE BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS017817L (Pennsylvania) | Primary |
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