Individual
JONATHAN TRIANTAFYLLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CONTINENTAL DR, ELIZABETHTOWN, PA 17022-2231
(717) 361-0666
(717) 361-0202
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD468412
PA
207Q00000X
Family Medicine Physician
R5946
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2015
Last updated
10/20/2021
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