Individual
DR. MARY VIRGINIA IACOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-6001
(302) 454-9830
(302) 454-1445
Mailing address
PO BOX 12210, WILMINGTON, DE 19850-2210
(302) 454-9830
(302) 454-1445
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C10006014
DE
Other
Enumeration date
06/21/2005
Last updated
03/09/2011
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