Organization
SMA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MA CARIDAD ROSAL MD (PARTNER)
(302) 653-6174
Entity
Organization
Contact information
Practice address
38 DEAK DR, SMYRNA, DE 19977
(302) 653-6174
(302) 653-6029
Mailing address
38 DEAK DR, SMYRNA, DE 19977
(302) 653-6174
(302) 653-6029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000185001
—
DE
01
—
1000038432
DPCI
—
01
—
2675733000
AMERIHEALTH HMO
—
01
—
467827
AETNA HMO 19
—
01
—
5304
AETNA PPO
—
01
—
8141834
ALLIANCE
—
Enumeration date
10/18/2006
Last updated
06/18/2008
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