Individual
DR. JEFFERY A DEBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3800 SIERRA CIR, SUITE 115, CENTER VALLEY, PA 18034-8476
(484) 664-2480
(484) 664-2483
Mailing address
PO BOX 1783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS006842L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013929700004
—
PA
01
—
110118140
PALMETTO RR
PA
01
—
50004486
CAPITAL BLUE CROSS
PA
01
—
580372
HIGHMARK PA BLUE SHIELD
PA
Enumeration date
05/18/2006
Last updated
06/23/2025
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