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Organization
IN HIS SHADOW FAMILY MEDICINE PC
Active
Organization
IN HIS SHADOW FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GESSNER MD (OWNER)
(570) 473-7017
Entity
Organization
Contact information
Practice address
5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
(570) 473-7017
(570) 473-7014
Mailing address
5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
(570) 473-7017
(570) 473-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
06/20/2007
Last updated
11/15/2017
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