Organization
DAVID BRONSTEIN DO RICHARD H JEFFRIES DO PROFESSIONAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRONSTEIN D.O. (PRESIDENT)
(717) 657-2595
Entity
Organization
Contact information
Practice address
4830 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-2595
(717) 441-0116
Mailing address
4830 LONDONDERRY RD, HARRISBURG, PA 17109-5207
(717) 657-2595
(717) 441-0116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
207RH0003X
Hematology & Oncology Physician
—
PA
207RI0200X
Infectious Disease Physician
—
PA
363AM0700X
Medical Physician Assistant
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010733600018
—
PA
01
—
02790500
CAPITAL BLUE CROSS
PA
01
—
133259
PA BLUE SHIELD
PA
01
—
2425999
AETNA
PA
01
—
CE3282
RR MEDICARE
PA
Enumeration date
06/24/2005
Last updated
07/21/2022
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