Elzbieta E Jacek
Family Medicine in Laurys Station, Pennsylvania
1265968796- Practice location
- 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059-1124
- Phone
- 610-261-1123
- Fax
- 610-262-1739
- Last updated
- September 1, 2020
Elzbieta Ewa Jacek is a Family Medicine based in Laurys Station, PA. Elzbieta Ewa Jacek practices in Laurys Station, PA. The NPI Number for Elzbieta Ewa Jacek is 1265968796 and holds a License No. 271782 (MA). The current practice location address for Elzbieta Ewa Jacek is 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059-1124 and can be reached out via phone at 610-261-1123 and via fax at 610-262-1739.
Provider Profile Details
- NPI Number
- 1265968796
- Provider Name
- Elzbieta Ewa Jacek
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059-1124
- Phone Number
- 610-261-1123
- Fax Number
- 610-262-1739
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2017
- Last Update Date
- September 1, 2020
- Certification Date
- September 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5649 Wynnewood Dr Ste 203
Laurys Station, PA 18059-1124 - City
- Laurys Station
- State
- Pennsylvania
- Zip
- 18059-1124
- Phone Number
- 610-261-1123
- Fax Number
- 610-262-1739
Provider Business Mailing Address Details
- Address
- 2100 Mack Blvd
Allentown, PA 18103-5622 - City
- Allentown
- State
- PA
- Zip
- 18103-5622
- Phone Number
- 484-884-0617
- Fax Number
- 484-884-0628
License Information
- License Number (1)
- 271782
- License State (1)
- MA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- MD471194
- License State (2)
- PA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Laurys Station, PA
View all Family Medicine providers in Laurys Station →Frequently Asked Questions
What is the NPI number of Elzbieta E Jacek?
The NPI number of Elzbieta E Jacek is 1265968796. It was assigned on May 3, 2017 and is currently active in the NPPES registry.
What is the specialty of Elzbieta E Jacek?
Elzbieta E Jacek is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 271782.
Where does Elzbieta E Jacek practice?
The practice location is 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059-1124. The office can be reached at 610-261-1123 (phone) or 610-262-1739 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265968796 directly on the NPPES registry website.