Organization
CASCADE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ADAM ROTH DO (DR)
(717) 298-3563
Entity
Organization
Contact information
Practice address
1007 N ORANGE ST, WILMINGTON, DE 19801-1239
(717) 298-3563
Mailing address
3005 N WASHINGTON ST, WILMINGTON, DE 19802-3141
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1354863466
GA
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5541214845
BILLING ID
DE
Enumeration date
03/14/2018
Last updated
03/20/2018
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