Individual
JAMES A. PIACENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD, STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
200 HYGEIA DR STE 2300, CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0006482
DE
207R00000X
Internal Medicine Physician
C20006482
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386681260
—
DE
Enumeration date
06/01/2006
Last updated
12/14/2016
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