Individual
DR. CHARLES G CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 NEW CASTLE AVE, WILMINGTON, DE 19801-5821
(302) 655-6187
(302) 655-6606
Mailing address
601 NEW CASTLE AVE, WILMINGTON, DE 19801-5821
(302) 427-9694
(302) 655-6606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0003567
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000328401
—
DE
01
—
0473654000
AMERIHEALTH
DE
01
—
4410537
AETNA
DE
01
—
46217
COVENTRY
DE
01
—
703E04
BLUE CROSS BLUE SHIELD
DE
Enumeration date
07/27/2006
Last updated
07/08/2007
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