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Individual

PATRICK K PHELAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
4755 OGLETOWN-STANTON RD, NEWARK, DE 19718
(302) 733-1000
(302) 733-1833
Mailing address
PO BOX 3048, WILMINGTON, DE 19804
(302) 224-5678
(302) 224-2848

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000134
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000757443
DE
Enumeration date
01/10/2006
Last updated
07/08/2007
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