Individual
JEFFREY M SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-5690
(717) 531-5009
Mailing address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2640
(717) 350-4578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193104
PA
207W00000X
Ophthalmology Physician
Primary
MD450629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028974160001
—
PA
01
—
331432
MEDICARE
PA
Enumeration date
05/27/2008
Last updated
04/17/2025
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