Individual
ELIZABETH A JACKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0100
(302) 623-0147
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C20003607
DE
Other
Enumeration date
01/03/2006
Last updated
10/19/2010
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