| Hillary Gordon, MD | |
| 233 E Lancaster Ave Ste 200, Ardmore, PA 19003-2395 | |
| (610) 642-1643 | |
| (610) 642-0245 | 
| Full Name | Hillary Gordon | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Allergy/immunology | 
| Location | 233 E Lancaster Ave Ste 200, Ardmore, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851667752 | NPI | - | NPPES | 
| PENDING | Medicaid | PA | |
| PENDING | Medicaid | DE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | C1-0012218 (Delaware) | Secondary | 
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD454558 (Pennsylvania) | Primary | 
| Entity Name | Main Line Allergy , L.l.p. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437104460 PECOS PAC ID: 0941284301 Enrollment ID: O20040615000491 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hillary Gordon, MD 233 E Lancaster Ave Ste 200, Ardmore, PA 19003-2321 Ph: () - | Hillary Gordon, MD 233 E Lancaster Ave Ste 200, Ardmore, PA 19003-2395 Ph: (610) 642-1643 | 
| Alexandra S Bartlett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Church Rd, Suite 300, Ardmore, PA 19003 Phone: 610-896-8582 | |
| Dr. Emily Siege, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 623 Valley View Rd, Ardmore, PA 19003 Phone: 610-645-0243 | |
| Janet L Beausoleil,  Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 233 E Lancaster Ave Ste 200, Ardmore, PA 19003 Phone: 215-590-1000 Fax: 215-561-0959 | |
| Frank H. King Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Church Rd, Suite 300, Ardmore, PA 19003 Phone: 610-896-8582 Fax: 610-896-7911 | |
| Dr. Teuta Henci,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 233 E Lancaster Ave, Suite 300, Ardmore, PA 19003 Phone: 610-896-8009 Fax: 610-649-7404 |