Organization
COASTAL PAIN CARE PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL JOHN SOMORI M.D. (MEDICAL DIRECTOR)
(302) 645-9180
Entity
Organization
Contact information
Practice address
1606 SAVANNAH RD, SUITE 1, LEWES, DE 19958-1656
(302) 645-2664
(302) 645-2774
Mailing address
1606 SAVANNAH RD, SUITE 1, LEWES, DE 19958-1656
(302) 645-2664
(302) 645-2774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0006005
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001194901
—
DE
Enumeration date
08/31/2006
Last updated
01/18/2011
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