Michael Dejesus, MD

NPI #1528161338 in Barneveld, New York

Provider Information

NPI Number: 1528161338
Entity Type: Individual
Name: Michael Dejesus, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 7, 2006
Last Updated: Mar 16, 2011

Practice Location

Address: 7980 STATE ROUTE 12
City: Barneveld
State: New York
ZIP Code: 13304-2536
Phone: (315) 624-8440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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