Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD024884E | PA |
NPI | 1013972058 |
---|---|
Provider Name | Dr. Jonathan L. Gelfand |
First Address | Bala Cynwyd, PA 19004-2323 |
Second Address | Bala Cynwyd, PA 19004-2323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0065781 | (05) | NJ |
1035314 | (05) | PA |
B34662 | (02) | PA |