Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Patrick Gannon, MD

Individual provider Internal Medicine Physician · NPI 1194086041

Dr. Michael Patrick Gannon, MD is a Cardiovascular Disease (Cardiology) in Woodbury, New Jersey. Qualified in 2012, 14 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, New Jersey and Pennsylvania.

Years since qualifying
14
Licensed in
MA, NJ, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

730 N Broad St Ste 200A
Woodbury, NJ 08096-1796
Phone: (856) 251-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3509 N Broad St, Philadelphia, PA 19140-4105 — (215) 707-8484

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 25MA12053900 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 251885 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD466806 (PA)

Record details

NPI number1194086041
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2012
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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