MEDICARE: DR. JAN E GAVIS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C2-0011612	DE

General Provider Information

NPI Number	:	1972663524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAN E GAVIS DO

Provider Business Mailing Address
First Line	:	640 S. STATE STREET
Second Line	:	MAIL CODE 3055
City	:	DOVER
State	:	DE
Zip	:	19901-3530
Country	:	US
Telephone Number	:	302-480-1688
Fax Number	:	302-480-9807

Provider Business Practice Location Address
First Line	:	2002 FOULK RD
Second Line	:	SUITE D
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3643
Country	:	US
Telephone Number	:	302-334-0330
Fax Number	:	302-334-0329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/05/2021

Similar Medicare Providers

1659687127 — ST. FRANCIS HOSPITAL INC.
Practice Location Address:

2002 FOULK RD , SUITE D
WILMINGTON, DE
19810-3643

Practice Phone: 302-334-0330
Practice Fax: 302-334-0329

1619006590 — CHRISTIANA CARE-ROCKWOOD PHYSICIANS, PA
Practice Location Address:

2002 FOULK RD , SUITE C & D
WILMINGTON, DE
19810-3643

Practice Phone: 302-529-1975
Practice Fax: 302-529-1763

1043336613 — OSWALDO APOLINAR NICASTRO M.D.
Practice Location Address:

2002 FOULK RD , SUITE D
WILMINGTON, DE
19810-3643

Practice Phone: 302-334-0330
Practice Fax: 302-334-0329

1447519319 — ST. FRANCIS HOSPITAL INC.
Practice Location Address:

2002 FOULK RD , SUITE A
WILMINGTON, DE
19810-3643

Practice Phone: 302-421-4775
Practice Fax: 302-421-4777

1225588528 — ST. FRANCIS HOSPITAL INC.
Practice Location Address:

2002 FOULK RD
WILMINGTON, DE
19810-3643

Practice Phone: 302-529-7900
Practice Fax: 302-529-7955

1629607593 — JUDITH MENSAH-PANFORD MD
Practice Location Address:

2002 FOULK RD STE D
WILMINGTON, DE
19810-3643

Practice Phone: 302-334-0330
Practice Fax:

Directions to “ DR. JAN E GAVIS DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.