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Organization

DELAWARE CLINICAL & LABORATORY PHYSICIANS, PA

Active
Other names
Hem Onc DCLP
Organization subpart
No

Provider details

NPI number
Authorized official
GARY WITKIN MD (PRESIDENT)
(302) 454-9830
Entity
Organization

Contact information

Practice address
4701 OGLETOWN STANTON RD, SUITE 4200, NEWARK, DE 19713-2055
(302) 454-9830
(302) 454-1445
Mailing address
PO BOX 12210, WILMINGTON, DE 19850-2210
(302) 454-9830
(302) 454-1445

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218202
DE
Enumeration date
11/06/2006
Last updated
03/07/2011
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