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COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE NPI 1639375009


NPI Information

NPI: 1639375009
Provider Name: COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE

Doing Business As: CNCD

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
537 STANTON CHRISTIANA RD
SUITE 106
NEWARK, DE
ZIP 19713
Phone: (302) 996-9010
Get Directions

COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE is a neurology with special qualifications in child neurology psychiatry neurology in Newark, DE. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. COMPREHENSIVE NEUROLOGY CENTER OF DELAWARE NPI is 1639375009. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cncd.

The provider's business location address is:

537 STANTON CHRISTIANA RD
SUITE 106
NEWARK, DE
ZIP 19713-146
Phone: (302) 996-9010

The provider's authorized official is Carl R Yacoub .
The authorized official title is Director and has the following contact phone number (302) 996-5457.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 9/26/2011.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyC1-0004626DELAWAREYes

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
1G00732MEDICARE PIN
20001164401MEDICAIDDELAWARE

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: 11/14/2023

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