Provider Demographics
NPI:1750328076
Name:BILSKI, BETH ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:BILSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 POLLY DRUMMONDS HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5703
Mailing Address - Country:US
Mailing Address - Phone:302-368-3600
Mailing Address - Fax:302-368-6099
Practice Address - Street 1:2 POLLY DRUMMONDS HILL ROAD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5703
Practice Address - Country:US
Practice Address - Phone:302-368-3600
Practice Address - Fax:302-368-6099
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20003020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000189303Medicaid
E55327Medicare UPIN
BI610693Medicare ID - Type Unspecified