Organization
SHOREVIEW MEDICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UDAY JANI M.D. (PRESIDENT)
(302) 684-0990
Entity
Organization
Contact information
Practice address
28312 LEWES-GEORGETOWN HIGHWAY, COOL SPRING OFFICE PARK, MILTON, DE 19968
(302) 684-0990
(302) 684-0991
Mailing address
28312 LEWES-GEORGETOWN HIGHWAY, COOL SPRING OFFICE PARK, MILTON, DE 19968
(302) 684-0990
(302) 684-0991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002106107
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000016067
—
DE
Enumeration date
08/16/2006
Last updated
11/11/2010
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