Provider Demographics
NPI:1609309632
Name:GUMBS, EDVARD ADRIAN (MD)
Entity type:Individual
Prefix:
First Name:EDVARD
Middle Name:ADRIAN
Last Name:GUMBS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 N ACADEMY AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-839-3633
Mailing Address - Fax:570-839-6490
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:570-703-4830
Practice Address - Fax:570-703-4835
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2025-01-29
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Provider Licenses
StateLicense IDTaxonomies
PAMD477304207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease