Organization
PLAZA MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS PETERZELL (OWNER/PRESIDENT)
(302) 658-8885
Entity
Organization
Contact information
Practice address
1600 N WASHINGTON ST, 2ND FLOOR, WILMINGTON, DE 19802-4722
(302) 658-8885
Mailing address
1600 N WASHINGTON ST, 2ND FLOOR, WILMINGTON, DE 19802-4722
(302) 658-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0006422
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000015429
—
DE
Enumeration date
06/20/2006
Last updated
02/28/2008
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