Organization
MILFORD ANESTHESIOLOGISTS,PA
Active
Organization
MILFORD ANESTHESIOLOGISTS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MOORE MD (PRESIDENT)
(302) 422-4047
Entity
Organization
Contact information
Practice address
21 W CLARKE AVE, MILFORD, DE 19963-1840
(302) 422-4047
Mailing address
PO BOX 284, MILFORD, DE 19963-0284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1989019458
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000181202
—
DE
Enumeration date
08/05/2006
Last updated
04/20/2008
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