Search › Pennsylvania › 207Q00000X
Elzbieta Jacek
NPI 1265968796 · on the registry since 2017
Practice
- Address
- 5649 Wynnewood Dr Ste 203
Laurys Station, PA 18059 - Phone
- (610) 261-1123
- Fax
- (610) 262-1739
- Organisation at this address
- Riverside Dermatology, Llc
Lehigh Valley Physician GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 195 Canal St, Malden, MA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MA, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania