Organization
BAYHEALTH MEDICAL CENTER, INC
Active
Other names
Bayhealth Cardiology Physicians, Kent Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J TRETINA (SENIOR VICE PRESIDENT/CFO)
(302) 744-7162
Entity
Organization
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7000
(302) 744-7181
Mailing address
640 SOUTH STATE STREET, MAIL CODE 3076, DOVER, DE 19901-3530
(302) 744-7000
(302) 744-7181
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSPTL-005
HOSPITAL LICENSE
DE
Enumeration date
08/16/2017
Last updated
10/26/2020
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