# ROBERTO M.VILLASENOR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093877854
- **Authorized official:** DR. ROBERTO VILLASENOR MD (PRESIDENT)
- **Authorized official phone:** (302) 629-7605

## Contact information

- **Practice address:** 916 MIDDLEFORD RD, SEAFORD, DE 19973-3604
- **Practice address phone:** (302) 629-7605
- **Practice address fax:** (302) 629-2323
- **Mailing address:** 916 MIDDLEFORD RD, SEAFORD, DE 19973-3604
- **Mailing address phone:** (302) 629-7605
- **Mailing address fax:** (302) 629-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10001573 | DE | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 06/17/2008