Individual
DR. ERIC J. DJENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(765) 827-8873
(765) 827-7743
Mailing address
5785 N DELAWARE ST, INDIANAPOLIS, IN 46220-2527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068696A
IN
208M00000X
Hospitalist Physician
Primary
01068696A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201021900
—
IN
Enumeration date
04/09/2008
Last updated
09/09/2024
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