Basic Information
| Provider Information | |||||||||
| NPI: | 1699898858 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GINDI | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 NORTH ACADEMY AVE | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178224903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702716144 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 EAST MOUNTAIN BLVD | ||||||||
| Address2: | |||||||||
| City: | WILKES BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187113539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708087399 | ||||||||
| FaxNumber: | 5708085647 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 11/21/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME80377 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 215558 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD459381 | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.