Provider Demographics
NPI:1710902382
Name:GELFAND, JOEL M (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:M
Last Name:GELFAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 SPRUCE STREET
Mailing Address - Street 2:2 RHODES PAVILLION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:2 RHODES PAVILION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-2737
Practice Address - Fax:215-349-8339
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2011-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD071826L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019039370001Medicaid
H56787Medicare UPIN
PA0019039370001Medicaid