Individual
DR. NICOLE LYNN JEZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3456 BETHLEHEM PIKE FL 2, SOUDERTON, PA 18964-1051
(215) 723-7177
Mailing address
3456 BETHLEHEM PIKE FL 2, SOUDERTON, PA 18964-1051
(215) 723-7177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD470574
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
12/04/2020
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