Provider Demographics
NPI:1588772834
Name:CAPE SURGICAL ASSOCIATES PA
Entity type:Organization
Organization Name:CAPE SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROVINSKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-645-7050
Mailing Address - Street 1:750 KINGS HWY
Mailing Address - Street 2:STE 103
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1772
Mailing Address - Country:US
Mailing Address - Phone:302-645-7050
Mailing Address - Fax:302-645-8473
Practice Address - Street 1:750 KINGS HWY
Practice Address - Street 2:STE 103
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1772
Practice Address - Country:US
Practice Address - Phone:302-645-7050
Practice Address - Fax:302-645-8473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001105302Medicaid
DE0001105302Medicaid