Individual
DR. JACK HARVEY DWORKIN
Active
Individual
DR. JACK HARVEY DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.C.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04348800
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04348800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040678
AETNA
NH
01
—
0077109
GHI
NJ
01
—
0099090000
AMERIHEALTH
NH
05
—
0384003
—
NJ
01
—
060005317
MEDICARE RAILROAD
NJ
01
—
MS021
OXFORD
NJ
Enumeration date
10/05/2006
Last updated
04/11/2024
Update your record
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