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NPI Code Detail

MEDICARE: GORDON MEDICAL PLUS LLC

MEDICARE: GORDON MEDICAL PLUS LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1922940444
Entity Type Code : Organization
Provider Name (Legal Business Name) : GORDON MEDICAL PLUS LLC
Provider Business Mailing Address
First Line : 206 W STATE ST FL 2
Second Line :
City : MEDIA
State : PA
Zip : 19063-3105
Country : US
Telephone Number : 610-602-9703
Fax Number : 610-602-9739
Provider Business Practice Location Address
First Line : 206 W STATE ST FL 2
Second Line :
City : MEDIA
State : PA
Zip : 19063-3105
Country : US
Telephone Number : 610-602-9703
Fax Number : 610-602-9739
Authorized Official
Title or Position : ADMINISTRATOR/CEO
Name : MR. DANIEL DELANO GORDON SR.
Credential :
Telephone Number : 610-602-9703
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “GORDON MEDICAL PLUS LLC ” Practice Location

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