Organization
CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY R CUCUZZELLA M.D. (MEDICAL DIRECTOR)
(302) 602-7000
Entity
Organization
Contact information
Practice address
1101 TWIN C LANE, SUITE 102, NEWARK, DE 19713
(302) 602-7000
(302) 602-7012
Mailing address
4735 OGLETOWN STANTON RD, SUITE 3302, NEWARK, DE 19713-2072
(302) 602-7000
(302) 602-7012
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457480535
NPI #
DE
Enumeration date
03/13/2009
Last updated
11/22/2024
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