Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD424641 | PA |
NPI | 1003864083 |
---|---|
Provider Name | Dr. Joel M. Sumfest |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-1316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101060150 | (05) | PA |
E99491 | (02) |