Organization
VINCENT B KILLEEN UTA RVOC TR OF CHARLES M MEENEHAN MD TTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO H ESCHBACH JR. DO (AUTHORIZED OFFICIAL)
(302) 645-4700
Entity
Organization
Contact information
Practice address
1535 SAVANNAH RD, LEWES, DE 19958-1611
(302) 645-4700
(302) 645-6285
Mailing address
1535 SAVANNAH RD, LEWES, DE 19958-1611
(302) 645-4700
(302) 645-6285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
DE
208D00000X
General Practice Physician
—
DE
237600000X
Audiologist-Hearing Aid Fitter
—
DE
367A00000X
Advanced Practice Midwife
—
DE
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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