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ENT & FACIAL PLASTIC SURGERY P.A. NPI 1295808590


NPI Information

NPI: 1295808590
Provider Name: ENT & FACIAL PLASTIC SURGERY, P.A.
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
826 S GOVERNORS AVE
DOVER, DE
ZIP 19904
Phone: (302) 674-3752
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ENT & FACIAL PLASTIC SURGERY, P.A. is an otolaryngology/facial plastic surgery otolaryngology in Dover, DE. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ENT & FACIAL PLASTIC SURGERY, P.A. NPI is 1295808590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

826 S GOVERNORS AVE
DOVER, DE
ZIP 19904-107
Phone: (302) 674-3752
Fax: (302) 674-8521

The provider's authorized official is Stephen G Cooper .
The authorized official title is President and has the following contact phone number (302) 674-3752.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/8/2008.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryC10002552DELAWAREYes

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
1055612MEDICARE ID-TYPE UNSPECIFIEDDELAWARE
2D73602MEDICARE UPINDELAWARE
3000221602MEDICAIDDELAWARE

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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