Individual
JONATHAN NESFEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 S 7TH AVE, SUITE 340, WEST READING, PA 19611-1410
(484) 628-8480
(484) 628-4750
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0779
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS018146
PA
207R00000X
Internal Medicine Physician
OT015148
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103119040
—
PA
Enumeration date
04/12/2013
Last updated
03/06/2017
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