Organization
FIRST STATE ENT ASSOCIATION INC
Active
Other names
First State ENT Association
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDEEP S HUNDAL M.D. (OWNER)
(302) 266-9166
Entity
Organization
Contact information
Practice address
774 CHRISTIANA ROAD, NEUROSCIENCE BUILDING STE B4, NEWARK, DE 19713-4236
(302) 266-2449
(302) 266-2450
Mailing address
774 CHRISTIANA ROAD, NEUROSCIENCE BUILDING STE B4, NEWARK, DE 19713-4236
(302) 266-2449
(302) 266-2450
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C10008440
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467639864
—
DE
Enumeration date
06/25/2015
Last updated
06/06/2016
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