Organization
BAYSIDE HEALTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT B. KILLEEN MD (PRESIDENT AND CEO)
(302) 645-4700
Entity
Organization
Contact information
Practice address
1535 SAVANNAH RD, LEWES, DE 19958-1611
(302) 645-4700
(302) 645-1038
Mailing address
1535 SAVANNAH RD, LEWES, DE 19958-1611
(302) 645-4700
(302) 645-1038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1989030027
DE
208D00000X
General Practice Physician
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000152902
—
DE
Enumeration date
06/14/2005
Last updated
09/23/2010
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