Healthcare Provider Details

I. General information

NPI: 1962435578
Provider Name (Legal Business Name): JEFFREY S. MEYERS, MD AND ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N WASHINGTON ST
WILMINGTON DE
19802-4722
US

IV. Provider business mailing address

1600 N WASHINGTON ST
WILMINGTON DE
19802-4722
US

V. Phone/Fax

Practice location:
  • Phone: 302-428-5954
  • Fax: 302-428-5914
Mailing address:
  • Phone: 302-428-5954
  • Fax: 302-428-5914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number027942
License Number StateDE

VIII. Authorized Official

Name: DR. JEFFREY S MEYERS
Title or Position: MD
Credential: MD
Phone: 302-428-5954