Ryan Gannon
NPI #1376108423 in Jenkintown, Pennsylvania
Provider Information
- NPI Number
- 1376108423
- Entity Type
- Individual
- Name
- Ryan Gannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 3, 2019
- Last Updated
- Jun 26, 2022
Practice Location
- Address
- 101 OLD YORK RD STE 201
- City
- Jenkintown
- State
- Pennsylvania
- ZIP Code
- 19046-3912
- Phone
- (215) 248-8145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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