Organization
MATERNITY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C CARLSON DO (PRESIDENT)
(302) 475-5893
Entity
Organization
Contact information
Practice address
3524 SILVERSIDE RD, THE COMMONS, SUITE 33, WILMINGTON, DE 19810-4929
(302) 478-7973
(302) 478-2746
Mailing address
3524 SILVERSIDE RD, THE COMMONS, SUITE 33, WILMINGTON, DE 19810-4929
(302) 478-7973
(302) 478-2746
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C2-0000683
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000147904
—
DE
01
—
0063393
AETNA
DE
01
—
0423079000
PERSONAL CHOICE
DE
Enumeration date
10/13/2006
Last updated
03/15/2011
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