| David J Jezyk Md | |
|
2055 Limestone Rd Ste 117 Wilmington DE 19808 | |
| (302) 999-8901 | |
| (302) 999-8962 |
| Full Name | David J Jezyk Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2055 Limestone Rd, Wilmington, Delaware |
| Authorized Official Name and Position | David Stanley Jezyk (MD OWNER) |
| Authorized Official Contact | 3029998901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Jezyk Md 607 Parker Ct Wilmington DE 19808 Ph: (302) 995-2966 | David J Jezyk Md 2055 Limestone Rd Ste 117 Wilmington DE 19808 Ph: (302) 999-8901 |
| NPI Number | 1235162256 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235162256 | NPI | - | NPPES |
| 00000191701 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10D00967 (Delaware) | Primary |
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