Individual
DR. GINA M. AMOROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
NEMOURS PEDIATRICS JESSUP ST., 1602 JESSUP STREET, WILMINGTON, DE 19802-4210
(302) 576-5050
(302) 576-5065
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C20008401
DE
208D00000X
General Practice Physician
Primary
C20008401
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138487
—
NJ
05
—
102034655
—
PA
05
—
4131371
—
MD
Enumeration date
03/06/2007
Last updated
09/13/2011
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