Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 24, 2009
License(s)
CS-0000648 (DE), 013645 (NY), C5-0000648 (DE)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4755 OGLETOWN STANTON ROAD CHRISTIANA HOSPITAL DEPT OF SURGERY, SUITE 2670 | Newark, DE 19718-2200 | 302-584-2601 |
| MAILING | 200 HYGEIA DRIVE CCHS PHYSICIAN CONTRACTING, SUITE 2300 | Newark, DE 19713-2049 |
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