Organization
CRESTVIEW MEDICAL CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT A. OGUNWANDE D.O. (MEDICAL DIRECTOR)
(302) 762-4545
Entity
Organization
Contact information
Practice address
1800 N BROOM ST, SUITE 109, WILMINGTON, DE 19802-3809
(302) 762-4545
(302) 762-9086
Mailing address
1800 N BROOM ST, SUITE 109, WILMINGTON, DE 19802-3809
(302) 762-4545
(302) 762-9086
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C2-0004996
DE
Other
Enumeration date
03/03/2007
Last updated
08/22/2020
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