Organization
CNMRI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M RUST (CNMRI AUTHORIZED REPRESENTATIVE)
(302) 346-2491
Entity
Organization
Contact information
Practice address
111 NEUROLOGY WAY, MILFORD, DE 19901
(302) 422-0800
Mailing address
1095 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000396902
—
DE
Enumeration date
02/20/2007
Last updated
01/15/2025
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