Individual
JEFFERY JUDE DUNKELBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 N ENOLA RD, ENOLA, PA 17025-2123
(717) 732-4911
(717) 409-8948
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009430L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043825F6K
MEDICARE PTAN
PA
05
—
1028233600001
—
PA
Enumeration date
09/27/2005
Last updated
04/14/2022
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