| Gordon Podiatry, Llc | |
|
2285 Cross Rd, Glenside, PA 19038-5023 | |
| (215) 887-5910 | |
| (215) 887-0387 |
| Full Name | Gordon Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2285 Cross Rd, Glenside, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609311034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC006606 (Pennsylvania) | Primary |
| Provider Name | Gary M Gordon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689675449 PECOS PAC ID: 5799786695 Enrollment ID: I20110727000059 |
| Provider Name | Alicia Anne Canzanese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710321823 PECOS PAC ID: 4385959444 Enrollment ID: I20161006000191 |
| Provider Name | Alexa Ray Santomero |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073272571 PECOS PAC ID: 5395136451 Enrollment ID: I20211228000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Podiatry, Llc 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910 | Gordon Podiatry, Llc 2285 Cross Rd, Glenside, PA 19038-5023 Ph: (215) 887-5910 |
Alexa Ray Santomero, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 | |
Dr. Nekeisha Alexander Abdul-hakim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308 Fax: 215-844-0370 | |
Gary M Gordon Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 | |
Alexander Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 805 E Willow Grove Ave Ste 1b, Glenside, PA 19038 Phone: 215-844-0308 | |
Gary M Gordon, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 | |
Dr. Alicia Anne Canzanese, DPM, ATC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2285 Cross Rd, Glenside, PA 19038 Phone: 215-887-5910 Fax: 215-887-0387 |