Individual
DR. ROBERTO M VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 MIDDLEFORD RD, SEAFORD, DE 19973-3604
(302) 629-7605
(302) 629-2323
Mailing address
916 MIDDLEFORD RD, SEAFORD, DE 19973-3604
(302) 629-7605
(302) 629-2323
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C10001573
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103501
—
DE
Enumeration date
07/14/2005
Last updated
12/07/2007
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