Crestview Medical Center P A

NPI 1023147493 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1023147493
Enumeration Date 03/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLEMENT A. CLEMENT
Position MEDICAL DIRECTOR
Phone (302) 762-4545
Fax (302) 762-9086
Practice Location
1800 N BROOM ST
SUITE 109
WILMINGTON DE, 19802-3809, US
Phone (302) 762-4545
Fax (302) 762-9086
Business Location
1800 N BROOM ST
SUITE 109
WILMINGTON DE, 19802-3809, US
Phone (302) 762-4545
Fax (302) 762-9086
Toxanomy
Taxonomy Code 305R00000X
License State Delaware
License Number C2-0004996
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According to our database, Crestview Medical Center P A NPI is 1023147493, taxonomy code is 305R00000X and license number is C2-0004996, license state is located at Delaware. Crestview Medical Center P A physically located at 1800 N Broom St, Wilmington DE, 19802-3809. NPI Number 1033115704 has the healthcare provider type.

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1023147493 NPI number is provided on an as is basis without warranty of any kind. 1023147493 is maintained by the National Plan & Provider Enumeration System. The contents of Crestview Medical Center P A are for informational purposes only.