Organization
UROLOGIC SURGICAL ASSOCIATES OF DELAWARE
Active
Organization
UROLOGIC SURGICAL ASSOCIATES OF DELAWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS JACKSON SCHANNE MD (PRESIDENT GROUP ADMINISTRATOR)
(302) 571-8958
Entity
Organization
Contact information
Practice address
1815 W 13TH ST, THE STATION SUITE 4, WILMINGTON, DE 19806-4054
(302) 517-8958
(302) 571-1320
Mailing address
1815 W 13TH ST, THE STATION SUITE 4, WILMINGTON, DE 19806-4054
(302) 517-8958
(302) 571-1320
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2003100929
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08D1018688
RAILROAD MEDICARE
—
01
—
1000030182
DELAWARE PHYSICIANS
—
01
—
2278204000
AMERIHEALTH PERS CHOICE
—
01
—
DA9575
RAILROAD MEDICARE
—
Enumeration date
09/11/2006
Last updated
11/20/2014
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