Healthcare Provider Details

I. General information

NPI: 1508808718
Provider Name (Legal Business Name): POLINA GELFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 N 3RD ST FL 2
HARRISBURG PA
17110-2001
US

IV. Provider business mailing address

2645 N 3RD ST FL 2
HARRISBURG PA
17110-2001
US

V. Phone/Fax

Practice location:
  • Phone: 717-782-6880
  • Fax:
Mailing address:
  • Phone: 717-782-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM5183
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD479618
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: