Individual
DAVID RAYMOND KALODNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
409 N 4TH ST, SUNBURY, PA 17801
(570) 286-1482
(570) 286-5243
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033155430002
—
PA
01
—
683918
MEDICARE PTAN
PA
Enumeration date
07/21/2015
Last updated
04/25/2022
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