Individual
KRISTEN LEIGH FACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(302) 733-1000
Mailing address
78 OMEGA DR, BLDG C, NEWARK, DE 19713-2064
(302) 368-2883
(302) 368-2892
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C2-0012183
DE
Other
Enumeration date
05/19/2012
Last updated
07/21/2017
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