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Contact Information

DELMARVA RADIATION SERVICES, PA
18947 JOHN J WILLIAMS HWY
REHOBOTH BEACH, DE19971-4474
 Phone: 302-645-3775
 Fax: 302-645-3774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for DELMARVA RADIATION SERVICES, PA

NPI Number 1992740906
LBN Legal business name DELMARVA RADIATION SERVICES, PA
Authorized official BRIAN COSTLEIGH - (MEDICAL DIRECTOR/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 06/11/2021 - About 5 years ago
Identifiers
DE Medicaid 1000038787
Other DE4449 RAILROAD MEDICARE
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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