Individual
DINA HUSSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718
(302) 623-0188
(302) 733-5640
Mailing address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0012662
DE
208M00000X
Hospitalist Physician
Primary
C1-0012662
DE
Other
Enumeration date
03/26/2015
Last updated
08/03/2018
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