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DELAWARE BAY SURGICAL SERVICE P.A. NPI 1831248509


NPI Information

NPI: 1831248509
Provider Name: DELAWARE BAY SURGICAL SERVICE, P.A.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
33664 BAYVIEW MEDICAL DRIVE
UNIT 2
LEWES, DE
ZIP 19958
Phone: (302) 644-4954
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DELAWARE BAY SURGICAL SERVICE, P.A. is a vascular surgery surgery in Lewes, DE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DELAWARE BAY SURGICAL SERVICE, P.A. NPI is 1831248509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33664 BAYVIEW MEDICAL DRIVE
UNIT 2
LEWES, DE
ZIP 19958
Phone: (302) 644-4954
Fax: (302) 645-5481

The provider's authorized official is Mayer M Katz .
The authorized official title is Owner and has the following contact phone number (302) 645-5650.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2363L00000XNurse PractitionerLG-0000358DELAWARENo
32086S0129XSurgeryVascular SurgeryC2-0007933DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000236002MEDICAIDDELAWARE
2G00036MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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