| Doctor Name: | DR. JEFFREY NICHOLAS VERZELLA |
| NPI Number: | 1043271968 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD043250E |
| Business Practice Address: | 740 High St Suite 4001 Williamsport, PA - 177013100 |
| Business Phone Number: | 5703212345 |
| Business Fax Number: | 5703212359 |
| Mailing Address: | 1201 Grampian Blvd, WILLIAMSPORT |
| State: | PA |
| Postal Code: | 177011900 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2006 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | MD043250E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |