Individual
GINA MARIE FACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
726 YORKLYN ROAD, SUITE 100, HOCKESSIN, DE 19707-8745
(302) 623-5770
(302) 234-5777
Mailing address
200 HYGEIA DRIVE, SUITE 2300, NEWARK, DE 19713
(302) 623-5770
(302) 234-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C-0004804
DE
207Q00000X
Family Medicine Physician
Primary
C2-0010405
DE
Other
Enumeration date
05/12/2011
Last updated
11/21/2014
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