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Individual

DR. DAVID STEPHEN ESTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1403 FOULK RD, SUITE 105, WILMINGTON, DE 19803-2788
(302) 479-0100
(302) 479-0177
Mailing address
1403 FOULK RD, SUITE 105, WILMINGTON, DE 19803-2788
(302) 479-0100
(302) 479-0177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0003216
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000157501
DE
01
080139009
RAILROAD MEDICARE INDIV
DE
Enumeration date
07/21/2005
Last updated
03/28/2008
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