Organization
GLASGOW INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURT DANIEL BLACKLOCK DO (PRESIDENT)
(302) 836-0100
Entity
Organization
Contact information
Practice address
2600 GLASGOW AVE, SUITE 126, NEWARK, DE 19702-4773
(302) 836-0100
(302) 836-5244
Mailing address
2600 GLASGOW AVE, SUITE 126, NEWARK, DE 19702-4773
(302) 836-0100
(302) 836-5244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C20003134
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239903
—
DE
01
—
D00167
DCS
DE
Enumeration date
11/12/2007
Last updated
03/07/2023
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