Individual
JODI E GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
062994
GA
208000000X
Pediatrics Physician
095362
OH
208000000X
Pediatrics Physician
MD421678
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD421678
PA
2080P0214X
Pediatric Pulmonology Physician
25MA08162100
NJ
2080P0214X
Pediatric Pulmonology Physician
Primary
C10011083
DE
208M00000X
Hospitalist Physician
MD421678
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050539
—
NJ
05
—
101141866
—
PA
01
—
1655572
BLUE SHIELD
PA
05
—
406294900
—
MD
Enumeration date
07/06/2006
Last updated
03/17/2018
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