Provider Demographics
NPI: | 1588489645 |
---|---|
Name: | DELAWARE CARDIOVASCULAR ASSOCIATES, P.A. |
Entity type: | Organization |
Organization Name: | DELAWARE CARDIOVASCULAR ASSOCIATES, P.A. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GURMEET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SINGH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 302-266-9166 |
Mailing Address - Street 1: | 1403 FOULK RD STE 101A |
Mailing Address - Street 2: | |
Mailing Address - City: | WILMINGTON |
Mailing Address - State: | DE |
Mailing Address - Zip Code: | 19803-2788 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 302-661-1661 |
Mailing Address - Fax: | 302-661-1001 |
Practice Address - Street 1: | 106 E MAIN ST STE 108 |
Practice Address - Street 2: | |
Practice Address - City: | ELKTON |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21921-5780 |
Practice Address - Country: | US |
Practice Address - Phone: | 443-406-7854 |
Practice Address - Fax: | 443-406-7633 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-11-22 |
Last Update Date: | 2024-11-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |