Individual
GONZALO ERVIN SUMARRIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(866) 785-8537
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD477879
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD477879
PA
Other
Enumeration date
05/11/2016
Last updated
02/20/2023
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