Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon Andrew Gustafson

Individual provider Internal Medicine Physician · NPI 1629917620

Jon Andrew Gustafson is an Internal Medicine Physician in Danville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

35 Justin Dr Fl 4
Danville, PA 17821-7951
Phone: (570) 271-6164
Fax: (570) 271-6141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OT025098 (PA)

Record details

NPI number1629917620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-9800

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