Provider Demographics
NPI:1073046975
Name:GORHAM, ARTHUR NATHAN (DO)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:NATHAN
Last Name:GORHAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 W SWAMP RD STE 41
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2465
Mailing Address - Country:US
Mailing Address - Phone:215-348-1706
Mailing Address - Fax:215-348-0321
Practice Address - Street 1:252 W SWAMP RD STE 41
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2465
Practice Address - Country:US
Practice Address - Phone:215-348-1706
Practice Address - Fax:215-348-0321
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA20A18506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty