# VINCENT B KILLEEN UTA RVOC TR OF CHARLES M MEENEHAN MD TTEE

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

## Provider details

- **NPI number:** 1568976363
- **Authorized official:** LEO H ESCHBACH JR. DO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (302) 645-4700

## Contact information

- **Practice address:** 1535 SAVANNAH RD, LEWES, DE 19958-1611
- **Practice address phone:** (302) 645-4700
- **Practice address fax:** (302) 645-6285
- **Mailing address:** 1535 SAVANNAH RD, LEWES, DE 19958-1611
- **Mailing address phone:** (302) 645-4700
- **Mailing address fax:** (302) 645-6285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | DE | Yes |
| 208D00000X | General Practice Physician | — | DE | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | DE | — |
| 367A00000X | Advanced Practice Midwife | — | DE | — |

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 12/01/2017