Organization
EDEN HILL SURGICAL GROUP
Active
Other names
Glenn & Domenick, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDT J FEUERSTEIN MD (PRESIDENT)
(302) 735-8850
Entity
Organization
Contact information
Practice address
200 BANNING ST, SUITE 310, DOVER, DE 19904-3485
(302) 735-8850
(302) 735-8851
Mailing address
200 BANNING ST, SUITE 310, DOVER, DE 19904-3485
(302) 735-8850
(302) 735-8851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0003052
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000891702
—
DE
Enumeration date
02/14/2006
Last updated
12/13/2013
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