State Of De

NPI 1104871920 - Clinic/Center - 261QM0801X

NPI Details
NPI 1104871920
Enumeration Date 05/23/2006
Last Updated 12/31/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STANLEY J STANLEY
Position MEDICAL DIRECTOR/DIRECTOR OF CLINIC
Phone (302) 739-4275
Fax
Practice Location
805 RIVER RD
DOVER DE, 19901-3753, US
Phone (302) 739-4275
Fax
Business Location
10 SW FRONT ST
MILFORD DE, 19963-1948, US
Phone (302) 422-1422
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1104871920 NPI Number
 

According to our database, State Of De NPI is 1104871920, taxonomy code is 261QM0801X State Of De physically located at 805 River Rd, Dover DE, 19901-3753. NPI Number 1033115704 has the healthcare provider type.

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1104871920 NPI number is provided on an as is basis without warranty of any kind. 1104871920 is maintained by the National Plan & Provider Enumeration System. The contents of State Of De are for informational purposes only.