Individual
HENRY E CHILDERS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20930 DUPONT BLVD, SUITE 202, GEORGETOWN, DE 19947-1725
(302) 258-8853
(302) 253-8430
Mailing address
20930 DUPONT BLVD, SUITE 202, GEORGETOWN, DE 19947-1725
(302) 258-8853
(302) 253-8430
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
C1-0009809
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C1-0009809
DE
Other
Enumeration date
11/22/2005
Last updated
07/23/2014
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