Individual
GERALDINE JUMOGOLIMA IDONIBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Mailing address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD438534
PA
2084P0800X
Psychiatry Physician
Primary
MD438534
PA
Other
Enumeration date
04/24/2008
Last updated
11/10/2014
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