Individual
MATTHEW SPIRO THEOHARAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
Mailing address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
322870
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
07/09/2024
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