is a Addiction Medicine in Claymont, Delaware. practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for is 1053521583. The last update date is .
's current location address is 590 Naamans Rd, Claymont, Delaware. You can contact this provider via phone number 8338862277. The mailing address for is 590 Naamans Rd, Claymont, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 590 Naamans Rd, Claymont, Delaware |
| Phone Number | 8338862277 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053521583 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 590 Naamans Rd |
|---|---|
| City | Claymont |
| State | Delaware (DE) |
| Post Code | 197032308 |
| Phone Number | 8338862277 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | P0920 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C1-0011566 | DE | -- |
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