Individual
JOSEPH P DEJONCKHEERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BUSS RD, LOWER, ALIQUIPPA, PA 15001-4749
(724) 891-5044
(724) 891-5049
Mailing address
99 BUSS RD, LOWER, ALIQUIPPA, PA 15001-4749
(724) 891-5044
(724) 891-5049
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD419171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012875750001
—
PA
Enumeration date
09/21/2005
Last updated
05/09/2017
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