NPI: 1275608630
Provider Name: STATE OF DELAWARE
Other Name: CDW NORTH DUP
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization
Specialization: Public Health, State or Local
Address:
417 FEDERAL ST
DOVER, DE
ZIP 19901
Phone: (302) 744-4849
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STATE OF DELAWARE is a public health and state or local clinic center in Dover, DE. STATE OF DELAWARE NPI is 1275608630. The provider is registered as an organization entity type.
The provider Other Name Is Cdw North Dup.
The provider's business location address is:
417 FEDERAL ST
DOVER, DE
ZIP 19901-635
Phone: (302) 744-4849
Fax: (302) 739-6627
The provider's authorized official is Herman Ellis .
The authorized official title is Medical Director and has the following contact phone number (302) 744-4700.
The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.