Organization
DELAWARE CLINICAL & LABORATORY PHYSICIANS, PA
Active
Other names
Pathology DCLP
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WITKIN MD (PRESIDENT)
(302) 454-9830
Entity
Organization
Contact information
Practice address
4755 OGLETOWN STANTON RD, DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE, NEWARK, DE 19718-0001
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400302
—
DE
Enumeration date
11/06/2006
Last updated
03/14/2011
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