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Individual

DAVID A MAGED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3105 LIMESTONE RD, STE 301, WILMINGTON, DE 19808-2147
(302) 633-1700
(302) 633-4418
Mailing address
3105 LIMESTONE RD, STE 301, WILMINGTON, DE 19808-2147
(302) 633-1700
(302) 633-4418

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0003054
DE
207R00000X
Internal Medicine Physician
Primary
C10003054
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115006I71
MEDICARE PTAN
DE
05
62101
DE
Enumeration date
07/26/2005
Last updated
08/22/2017
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