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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