Gordon Podiatry, LLC

NPI #1609311034 in Glenside, Pennsylvania

Provider Information

NPI Number: 1609311034
Entity Type: Organization
Organization Name: Gordon Podiatry, LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 20, 2016
Last Updated: Dec 27, 2016

Practice Location

Address: 2285 CROSS RD
City: Glenside
State: Pennsylvania
ZIP Code: 19038-5023
Phone: (215) 887-5910

Authorized Official

Name: DR. ALICIA ANNE CANZANESE, DPM
Title: OWNER
Phone: (215) 887-5910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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