Individual
JEFFREY C GUNDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7785 N STATE ST, STE 120, LOWVILLE, NY 13367-1229
(315) 376-4505
(315) 376-4259
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5607
(315) 701-5608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071543
—
NY
Enumeration date
11/09/2006
Last updated
12/27/2013
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