Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Mar 21, 2017
License(s)
C1-0025172 (DE), MD473898 (PA), C1-0025172 (DE)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 743 IRIS LN | Media, PA 19063-5456 | 302-366-2000 |
| LOCATION | 774 CHRISTIANA RD STE 201 | Newark, DE 19713-4221 | 302-366-2000 |
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