Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY M GORDON, DPM
Deactivated Sole ProprietorGARY M GORDON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in GLENSIDE, Pennsylvania. NPI 1689675449 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · GLENSIDE, PA
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689675449
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (0.63287671232877 yrs)
- Last Updated
- Mar 18, 2008
- Deactivated
- Mar 21, 2006
- License
-
SC001507L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2285 CROSS RDGLENSIDE, PA, 190385023Browse PA providers · Browse ZIP 19038
- Phone
- 2158875910
- Fax
- 2158870387
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in GLENSIDE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. NEKEISHA ALEXANDER ABDUL-HAKIM | DPM | 1649568056 |
| DR. ALICIA ANNE CANZANESE | DPM, ATC | 1710321823 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.