Provider Demographics
NPI:1427306240
Name:DELAWARE VASCULAR AND VEIN CENTER, LLC
Entity type:Organization
Organization Name:DELAWARE VASCULAR AND VEIN CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:NATALIE
Authorized Official - Last Name:TUERFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-533-5103
Mailing Address - Street 1:774 CHRISTIANA RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4236
Mailing Address - Country:US
Mailing Address - Phone:302-533-5103
Mailing Address - Fax:302-533-5175
Practice Address - Street 1:774 CHRISTIANA RD
Practice Address - Street 2:SUITE 109
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4236
Practice Address - Country:US
Practice Address - Phone:302-533-5103
Practice Address - Fax:302-533-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100062242086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEH37036Medicare UPIN