Provider Demographics
NPI:1316912983
Name:MARKOWITZ, GARY I (MD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:I
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4158
Mailing Address - Country:US
Mailing Address - Phone:302-674-1121
Mailing Address - Fax:302-674-3891
Practice Address - Street 1:833 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4158
Practice Address - Country:US
Practice Address - Phone:302-674-1121
Practice Address - Fax:302-674-3891
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10002292207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000010201Medicaid
DE2623617000OtherAMERIHEALTH INS CO
DE43531000OtherDAVIS VISION
DE442980D99Medicare PIN
B66622Medicare UPIN