Individual
DR. GERMAN DY DEJOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3024 NEW BERN AVENUE, RALEIGH, NC 27610-0000
(919) 350-7270
(919) 350-7204
Mailing address
3024 NEW BERN AVENUE, RALEIGH, NC 27610
(919) 350-7270
(919) 350-7204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD055492L
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2008-00611
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025817201
UNIVERA
NY
05
—
0018741920001
—
PA
01
—
02213596
NY MEDICAL ASSISTANCE
NY
01
—
1047850
WEST VIRGINIA WORK COMP
WV
01
—
110241542
RR MEDICARE
PA
01
—
124571
UNISON
PA
01
—
1521461
GATEWAY
PA
01
—
193623
BLUE SHIELD
PA
01
—
2109107
AETNA
PA
01
—
2282882
OH MEDICAL ASSISTANCE
OH
01
—
400014
UPMC
PA
Enumeration date
07/28/2005
Last updated
11/30/2015
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