Organization
MICHAEL L CENTRELLA, JR DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L CENTRELLA JR. DPM (OWNER)
(302) 655-6584
Entity
Organization
Contact information
Practice address
1021 GILPIN AVE, SUITE 100, WILMINGTON, DE 19806-3270
(302) 655-6584
(302) 655-6910
Mailing address
1021 GILPIN AVE, SUITE 100, WILMINGTON, DE 19806-3270
(302) 655-6584
(302) 655-6910
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000025117
—
DE
Enumeration date
01/10/2007
Last updated
08/22/2020
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