Individual
JACQUELYN M ZAVODNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1041 W BRIDGE ST, STES 1 & 2, DEVEREUX BENETO CTR COMM SVCS DEVEREUX, PHOENIXVILLE, PA 19460
(610) 933-8110
(610) 296-5866
Mailing address
1655 OAKWOOD DR, N122, NARBERTH, PA 19072-1017
(610) 668-9997
(610) 296-5866
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD015911E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005544390339
—
PA
Enumeration date
06/29/2006
Last updated
07/08/2007
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