Provider Demographics
NPI:1821002338
Name:GORDON-KLINOW PEDIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:GORDON-KLINOW PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-687-3600
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BUILDING 3 SUITE 111
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:610-527-4715
Mailing Address - Fax:610-527-3649
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING 3 SUITE 111
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:610-527-4715
Practice Address - Fax:610-527-3649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty