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NPI Code Detail

MEDICARE: DR. DAN JONATHAN GZESH MD

MEDICARE: DR. DAN JONATHAN GZESH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084V0102XVascular Neurology PhysicianMD037369EPA
22084N0400XNeurology PhysicianMD037369EPA

General Provider Information

NPI Number : 1417984923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN JONATHAN GZESH MD
Provider Business Mailing Address
First Line : 1151 OLD YORK RD STE 200
Second Line :
City : ABINGTON
State : PA
Zip : 19001-3816
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Provider Business Practice Location Address
First Line : 1151 OLD YORK RD STE 200
Second Line :
City : ABINGTON
State : PA
Zip : 19001-3816
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 01/22/2021

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Directions to “ DR. DAN JONATHAN GZESH MD” Practice Location

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