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Gordon Lutchman

NPI 1548270861 · on the registry since 2006

Practice

Address
8352 Bustleton Ave
Philadelphia, PA 19152
Phone
(215) 809-1445
Fax
(224) 235-4652
Organisation at this address
Usa Vein Clinics Of Philadelphia Llc
Pennsylvania Professional Medical Services Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 766 Shrewsbury Ave Ste 300, Tinton Falls, NJ

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
208600000X
2086S0102X
Licence states on file
NJ, NY, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania