Organization
SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M MITCHELL (BUSINESS MANAGER)
(302) 674-0600
Entity
Organization
Contact information
Practice address
200 BANNING ST, STE 200, DOVER, DE 19904-3485
(302) 674-0600
(302) 672-7144
Mailing address
200 BANNING ST, STE 200, DOVER, DE 19904-3485
(302) 674-0600
(302) 672-7144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000921602
—
DE
01
—
020042247
RAILROAD MEDICARE
DE
Enumeration date
05/26/2006
Last updated
02/23/2010
Update your record
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