Individual
CHARLES PAIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5453
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME91993
FL
2086S0120X
Pediatric Surgery Physician
C100
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271349700
—
FL
01
—
50994
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/13/2006
Last updated
03/17/2018
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