Organization
ENDOCRINOLOGY CONSULTANT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L REYNOLDS (CLIENT MANAGER)
(302) 855-9099
Entity
Organization
Contact information
Practice address
9 E LOOCKERMAN ST, SUITE A, DOVER, DE 19901-8306
(302) 734-2782
(302) 734-2784
Mailing address
9 E LOOCKERMAN ST, SUITE A, DOVER, DE 19901-8306
(302) 734-2782
(302) 734-2784
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C1-0005520
DE
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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