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NPI Code Detail

MEDICARE: MICHAEL A GELFAND MD

MEDICARE: MICHAEL A GELFAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD452895PA
22084N0600XClinical Neurophysiology PhysicianMD452895PA
32084E0001XEpilepsy PhysicianMD452895PA

General Provider Information

NPI Number : 1861706525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A GELFAND MD
Provider Business Mailing Address
First Line : 3400 SPRUCE ST
Second Line : 3 W GATES
City : PHILADELPHIA
State : PA
Zip : 19104-4261
Country : US
Telephone Number : 215-662-3606
Fax Number : 215-243-2312
Provider Business Practice Location Address
First Line : 3400 CIVIC CENTER BLVD
Second Line : 2ND FLOOR, SOUTH PAVILION
City : PHILADELPHIA
State : PA
Zip : 19104-5127
Country : US
Telephone Number : 215-662-3606
Fax Number : 215-243-2312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 12/04/2025

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