# IN HIS SHADOW FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508061318
- **Authorized official:** DR. JONATHAN GESSNER MD (OWNER)
- **Authorized official phone:** (570) 473-7017

## Contact information

- **Practice address:** 5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
- **Practice address phone:** (570) 473-7017
- **Practice address fax:** (570) 473-7014
- **Mailing address:** 5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
- **Mailing address phone:** (570) 473-7017
- **Mailing address fax:** (570) 473-7014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 11/15/2017