Gonzalo Ervin Sumarriva, MD | |
250 S 21st St, Easton, PA 18042-3851 | |
(866) 785-8537 | |
Not Available |
Full Name | Gonzalo Ervin Sumarriva |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 250 S 21st St, Easton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710333422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD477879 (Pennsylvania) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | MD477879 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Gslpg, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
Mailing Address | Practice Location Address |
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Gonzalo Ervin Sumarriva, MD 250 S 21st St, Easton, PA 18042-3851 Ph: () - | Gonzalo Ervin Sumarriva, MD 250 S 21st St, Easton, PA 18042-3851 Ph: (866) 785-8537 |
Matthew Chorney, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3794 Hecktown Rd Ste 130, Easton, PA 18045 Phone: 610-402-8900 | |
Dante Michael Kintz, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1735 | |
Dr. Charles R Reina, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Harding Ct, Easton, PA 18045 Phone: 610-258-5165 Fax: 610-258-5155 | |
Douglas D Ditmars, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2111 Washington Blvd, Easton, PA 18042 Phone: 610-253-9617 Fax: 610-253-6705 | |
Ranjan Sachdev, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3735 Easton Nazareth Hwy Ste 302a, Easton, PA 18045 Phone: 610-515-9994 Fax: 610-515-9997 |