Individual
ALEXIS M. SOULELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
222 PHILADELPHIA PIKE, SUITE 5, WILMINGTON, DE 19809-3166
(302) 651-4334
(302) 651-4041
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C20008723
DE
208000000X
Pediatrics Physician
C7-0003279
DE
208D00000X
General Practice Physician
C20008723
DE
Other
Enumeration date
03/11/2007
Last updated
10/26/2011
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