Organization
IN HIS SHADOW FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GESSNER MD (OWNER)
(570) 473-7017
Entity
Organization
Contact information
Practice address
5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
(570) 473-7017
(570) 473-7014
Mailing address
5 GESSNER WAY, NORTHUMBERLAND, PA 17857-1535
(570) 473-7017
(570) 473-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
06/20/2007
Last updated
11/15/2017
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