Individual
JOHN AUSTIN DEFRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 S DUPONT HWY, NEW CASTLE, DE 19720-4606
(302) 328-3330
(302) 328-9336
Mailing address
95 ROSE ANN LN, WEST GROVE, PA 19390-8924
(302) 328-3330
(302) 328-9336
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
CL0005148
DE
2084N0400X
Neurology Physician
MD061195L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0005148
TAX ID NUMBER
DE
01
—
MD061195L
TAX ID NUMBER
PA
Enumeration date
07/15/2006
Last updated
07/29/2008
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