Provider Demographics
NPI:1619221744
Name:PARTYKA-ZDUNEK, MONIKA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:
Last Name:PARTYKA-ZDUNEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:
Other - Last Name:PARTYKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:625 BLACK GATES RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2239
Mailing Address - Country:US
Mailing Address - Phone:302-478-7759
Mailing Address - Fax:
Practice Address - Street 1:625 BLACK GATES RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2239
Practice Address - Country:US
Practice Address - Phone:302-478-7759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002930207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine