Provider Demographics
NPI:1285941435
Name:GUELBENZU, NELSON (MD)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:
Last Name:GUELBENZU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ROLLING ACRES DR
Mailing Address - Street 2:
Mailing Address - City:ALUM BANK
Mailing Address - State:PA
Mailing Address - Zip Code:15521-8264
Mailing Address - Country:US
Mailing Address - Phone:814-839-4191
Mailing Address - Fax:
Practice Address - Street 1:121 ROLLING ACRES DR
Practice Address - Street 2:
Practice Address - City:ALUM BANK
Practice Address - State:PA
Practice Address - Zip Code:15521-8264
Practice Address - Country:US
Practice Address - Phone:814-839-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 036700E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine