Organization
DELMARVA DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER Z. COOPER M.D. (OWNER)
(302) 402-3015
Entity
Organization
Contact information
Practice address
32895 COASTAL HWY # 102A, BETHANY BEACH, DE 19930-3782
(302) 402-3015
(302) 402-5942
Mailing address
PO BOX 1329, BETHANY BEACH, DE 19930-1329
(302) 402-3015
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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