# ENDOCRINOLOGY CONSULTANT PA

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

## Provider details

- **NPI number:** 1659488468
- **Authorized official:** JUDY L REYNOLDS (CLIENT MANAGER)
- **Authorized official phone:** (302) 855-9099

## Contact information

- **Practice address:** 9 E LOOCKERMAN ST, SUITE A, DOVER, DE 19901-8306
- **Practice address phone:** (302) 734-2782
- **Practice address fax:** (302) 734-2784
- **Mailing address:** 9 E LOOCKERMAN ST, SUITE A, DOVER, DE 19901-8306
- **Mailing address phone:** (302) 734-2782
- **Mailing address fax:** (302) 734-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | C1-0005520 | DE | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/22/2020