Provider Demographics
NPI:1124130778
Name:EPSTEIN, DAVID MARC (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARC
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 BIDDLE AVE STE 206
Mailing Address - Street 2:SPRINGSIDE PLAZA, CONNOR BUILDING
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3969
Mailing Address - Country:US
Mailing Address - Phone:302-392-2077
Mailing Address - Fax:302-392-0020
Practice Address - Street 1:300 BIDDLE AVE STE 206
Practice Address - Street 2:SPRINGSIDE PLAZA, CONNOR BUILDING
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3969
Practice Address - Country:US
Practice Address - Phone:302-392-2077
Practice Address - Fax:302-392-0020
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002711208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE43544OtherCOVENTRY
DE710346OtherAETNA PPO
DEK899OtherBCBS MD
DE000710346OtherIBC PPO
DE0546436000OtherKEYSTONE
DE783F25OtherBCBS DE
DE0000015201OtherDPCI
DE0000015201Medicaid
DE510110041OtherBCBS
DE856324OtherMAMSI
DE4235254OtherAETNA USHC
DE0546436000OtherAETNA HMO
DE0000015201OtherDIAMOND STATE PARTNERS
DE0546436000OtherIBC HMO
DEK899OtherBCBS MD