Organization
STATE OF DELAWARE DEPARTMENT OF PUBLIC HEATH ACCESS PROGRAM TELEHEALTH
Active
Parent organization
DE DPH CARE ACCESS TELEHEALTH
Other names
Care Access Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE DPH CARE ACCESS TELEHEALTH
Authorized official
OLUBUSOLA OGUNLADE M.D. (CHIEF PHYSICIAN DIVISION OF PUBLIC)
(302) 730-2941
Entity
Organization
Contact information
Practice address
417 FEDERAL STREET, DOVER, DE 19901
(302) 744-4700
(302) 744-5361
Mailing address
417 FEDERAL STREET, DOVER, DE 19901
(302) 744-4700
(302) 744-5361
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013089895
—
DE
Enumeration date
09/26/2024
Last updated
09/26/2024
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