Individual
JEREMY D. CRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 1250, NEWARK, DE 19713-2076
(302) 623-0200
(302) 623-0267
Mailing address
200 HYGEIA DRIVE, SUITE 2300, CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0012245
DE
Other
Enumeration date
04/23/2014
Last updated
01/05/2023
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