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Contact Information

DELAWARE PLASTIC & RECON SURGERY
ONE CENTURIAN DR
SUITE 301
NEWARK, DE19713-2127
 Phone: 302-994-8492
 Fax: 302-994-1155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DELAWARE PLASTIC & RECON SURGERY

NPI Number 1073653317
LBN Legal business name DELAWARE PLASTIC & RECON SURGERY
Authorized official ABDOLLAH MALEK - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 08/08/2008 - About 18 years ago
Identifiers
DE License # 1990025547
DE Medicaid 0000171202
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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