Provider Demographics
NPI:1699988667
Name:MAREK BYKOWSKI, JULIE LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LYNN
Last Name:MAREK BYKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:BYKOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:MC 8746
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9001
Mailing Address - Country:US
Mailing Address - Phone:619-543-3534
Mailing Address - Fax:619-543-3746
Practice Address - Street 1:200 WEST ARBOR DR
Practice Address - Street 2:MC 8756
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8756
Practice Address - Country:US
Practice Address - Phone:619-543-3534
Practice Address - Fax:619-543-3746
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA968032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology