Individual
MICHAEL JOSEPH PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0002
(302) 733-1000
Mailing address
2 READS WAY STE 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0049430
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00781
DE
Other
Enumeration date
03/16/2017
Last updated
08/07/2023
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