Individual
JEFFREY M SUNDSTROM
Active
Individual
JEFFREY M SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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