OrganizationActive
Eugene Dyakovetsky MD. LLC
NPI 1942460753 · Medical Specialty Clinic/Center · Southampton, PA
Provider details
- NPI number
- 1942460753
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eugene Dyakovetsky, President(267) 471-0089
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
201 Lakeside Park
Ste a
Southampton, PA 18966-4049
Phone: (215) 322-1058
Fax: (215) 322-1059
Approximate (ZIP-level) locationGet directions
Mailing address
201 Lakeside Park
Southampton, PA 18966-4049
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.