Individual
DAVID JEZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4515 GRIFFIN DR, WILMINGTON, DE 19808-4254
(302) 999-7364
(302) 424-9362
Mailing address
4515 GRIFFIN DR, WILMINGTON, DE 19808-4254
(302) 999-7364
(302) 424-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CI-0D00967
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000191701
—
DE
Enumeration date
08/16/2006
Last updated
12/15/2018
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