Individual
DR. JONATHAN BUNIVA EDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF CARDIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1220
(215) 590-2768
Mailing address
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104-4319
(215) 590-1220
(215) 590-2768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT203791
PA
2080P0202X
Pediatric Cardiology Physician
Primary
MT203791
PA
Other
Enumeration date
06/05/2013
Last updated
06/29/2016
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