Individual
EILEEN MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-2200
(302) 733-1980
(302) 733-1986
Mailing address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-2200
(302) 733-1980
(302) 733-1986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011544
DE
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/09/2021
Last updated
06/08/2021
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