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Individual

JOSEPH W. DEPENBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805
(302) 575-8103
(302) 575-8144
Mailing address
701 N CLAYTON ST STE 301 MSB, WILMINGTON, DE 19805-3165
(302) 575-8103
(302) 575-8144

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C1-0003887
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000000306
DE
01
P00309508
MEDICARE PIN (RAILROAD)
DE
Enumeration date
02/23/2006
Last updated
06/27/2018
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