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General NPI Number Information
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NPI Number | 1861706525
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Entity Type | Individual
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Provider Name | MICHAEL A GELFAND MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD 2ND FLOOR, SOUTH PAVILION
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-662-3606
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Fax | 215-243-2312
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Provider Business Mailing Address
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Address Line | 3400 SPRUCE ST 3 W GATES
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4261
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Country | US
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Telephone | 215-662-3606
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Fax | 215-243-2312
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD452895
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | MD452895
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | MD452895
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License Number State | PA
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