Individual
DR. JONATHAN RICHARD SIUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 278-4818
(814) 234-6150
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 278-4818
(814) 234-6150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD449631
PA
208000000X
Pediatrics Physician
MD449631
PA
208M00000X
Hospitalist Physician
Primary
MD449631
PA
Other
Enumeration date
05/01/2006
Last updated
03/20/2015
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