Individual
JAY E ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 PINE ST, PUNXSUTAWNEY, PA 15767-1929
(814) 938-5204
Mailing address
204 PINE ST, PUNXSUTAWNEY, PA 15767-1929
(814) 938-5204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035671E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001044618-0003
—
PA
Enumeration date
09/13/2005
Last updated
11/16/2023
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