Individual
DR. THIELE UMALI ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 FALLON AVE., NEMOURS PEDIATRICS SEAFORD, SEAFORD, DE 19973-1577
(302) 629-5030
(302) 629-5035
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
C10005390
DE
208D00000X
General Practice Physician
Primary
C10005390
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101045716
—
PA
05
—
4433076
—
MD
05
—
7848901
—
NJ
Enumeration date
10/13/2006
Last updated
09/19/2011
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