Individual
ANH DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
L6 OMEGA DR, NEWARK, DE 19713-2077
(302) 738-9300
(302) 738-3791
Mailing address
1601 MILLTOWN RD, SUITE 13, WILMINGTON, DE 19808-4027
(302) 993-2330
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0006416
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036042
—
DE
01
—
P00225774
RAILROAD MEDICARE #
—
Enumeration date
03/21/2006
Last updated
01/15/2013
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