Provider Demographics
NPI:1881620631
Name:DELVERS, DILEK S (MD)
Entity type:Individual
Prefix:
First Name:DILEK
Middle Name:S
Last Name:DELVERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CRESTVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848
Mailing Address - Country:US
Mailing Address - Phone:908-246-9487
Mailing Address - Fax:908-730-1340
Practice Address - Street 1:1676 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08362-1513
Practice Address - Country:US
Practice Address - Phone:856-696-6209
Practice Address - Fax:856-696-6143
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58433207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ472773B1LOtherMEDICARE BILLING NO.
NJ5389909Medicaid
NJ472773B1LOtherMEDICARE BILLING NO.