Individual
GREGORY J ELBERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5325
(570) 621-5018
Mailing address
450 WASHINGTON ST, BOX 9, POTTSVILLE, PA 17901-3655
(570) 621-5018
(570) 621-5806
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042075E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001538879
—
PA
05
—
0015388790003
—
PA
Enumeration date
09/20/2005
Last updated
12/18/2018
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