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CHRISTIANA CARE HEALTH SERVICES INC

Dietary & Nutritional Service Providers Dietitian, Registered

Provider NPI: 1174508410

Organization Information:
Organization Name:  CHRISTIANA CARE HEALTH SERVICES INC
Organization is Subpart
Authorized Official:  THOMAS L CORRIGAN  CFO  302-623-7203

Practice Location:
4701 OGLETOWN STANTON RD HELEN F. GRAHAM CANCER CENTER WEST, SUITE 2335 NEWARK, DE 19713-2055 US
Tel: 302-623-4285  Fax: 302-623-4155

Business Mailing Address:
PO BOX 30170  WILMINGTON, DE 19805-7170 US
Tel: 302-623-7362  Fax: 302-623-7374

NPI Information:
NPI: 1174508410
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
N207VG0400XPhysicians
Obstetrics & Gynecology
N208100000XPhysicians
Physical Medicine & Rehabilitation
N207X00000XPhysicians
Orthopaedic Surgery
Y207VX0201XPhysicians
Obstetrics & Gynecology
N207RX0202XPhysicians
Internal Medicine
N207SG0203XPhysicians
Medical Genetics
N208600000XPhysicians
Surgery

Other Provider Identifiers:

IssuerNumberStateType
1174508410DE05



American Medical Association 2012 taxonomy code information

Code: 207VX0201X

Type:

Classification:



Definition:



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