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DELAWARE VASCULAR ASSOCIATES P A NPI 1043379290


NPI Information

NPI: 1043379290
Provider Name: DELAWARE VASCULAR ASSOCIATES P A
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4735 OGLETOWN STANTON RD
MEDICAL ARTS PAVILION 2 SUITE 1208
NEWARK, DE
ZIP 19713
Phone: (302) 733-5700
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DELAWARE VASCULAR ASSOCIATES P A is a vascular surgery surgery in Newark, 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 VASCULAR ASSOCIATES P A NPI is 1043379290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4735 OGLETOWN STANTON RD
MEDICAL ARTS PAVILION 2 SUITE 1208
NEWARK, DE
ZIP 19713-072
Phone: (302) 733-5700
Fax: (302) 733-5373

The provider's authorized official is F Todd Harad .
The authorized official title is President and has the following contact phone number (302) 733-5700.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 2/29/2008.


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
12086S0129XSurgeryVascular Surgery1998205736DELAWAREYes

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
1G00321MEDICARE PIN
21000014369MEDICAIDDELAWARE

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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