# CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1275774747
- **Authorized official:** TONY R CUCUZZELLA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (302) 602-7000

## Contact information

- **Practice address:** 1101 TWIN C LANE, SUITE 102, NEWARK, DE 19713
- **Practice address phone:** (302) 602-7000
- **Practice address fax:** (302) 602-7012
- **Mailing address:** 4735 OGLETOWN STANTON RD, SUITE 3302, NEWARK, DE 19713-2072
- **Mailing address phone:** (302) 602-7000
- **Mailing address fax:** (302) 602-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PENDING | DE | Yes |

## Other

- **Enumeration date:** 03/13/2009
- **Last updated:** 11/22/2024