Individual
JENNIFER ELIZABETH HOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, GEISINGER MEDICAL CENTER, DANVILLE, PA 17822-2111
(570) 271-6439
(570) 271-6852
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015902
PA
208000000X
Pediatrics Physician
390200000X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102714024
—
PA
Enumeration date
03/03/2008
Last updated
07/30/2020
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