National Provider Identifier Database

EUGENE DYAKOVETSKY MD LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

EUGENE DYAKOVETSKY MD. LLC
201 LAKESIDE PARK
STE A
SOUTHAMPTON, PA18966-4049
Phone: 215-322-1058
Fax: 215-322-1059
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for EUGENE DYAKOVETSKY MD. LLC

NPI Number 1942460753
Legal business name
LBN
EUGENE DYAKOVETSKY MD. LLC
Authorized official EUGENE DYAKOVETSKY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/16/2008
Last updated 06/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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