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. |
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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 |
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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 |