Organization
KIRKWOOD ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVIZ SOROURI M.D. (MEDICAL DIRECTOR)
(302) 453-9171
Entity
Organization
Contact information
Practice address
10 DARWIN DR, NEWARK, DE 19711-6658
(302) 453-9171
(302) 453-0732
Mailing address
10 DARWIN DR, NEWARK, DE 19711-6658
(302) 453-9171
(302) 453-0732
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038545
—
DE
Enumeration date
11/16/2006
Last updated
08/22/2020
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