Organization
CHRISTIANA SPINE CENTER PA
Active
Other names
Physiatrists Associates
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MANGES (PRACTICE ADMINISTRATOR)
(302) 996-9522
Entity
Organization
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3302, NEWARK, DE 19713
(302) 623-4144
(302) 623-4147
Mailing address
4735 OGLETOWN STANTON RD, SUITE 3302, NEWARK, DE 19713
(302) 623-4144
(302) 623-4147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000135302
—
DE
01
—
0078028000
AMERIHEALTH
DE
01
—
25305
UNITED HC
DE
01
—
93388
AETNA
DE
01
—
CL3148
RAILROAD MCR
—
Enumeration date
03/31/2006
Last updated
09/25/2018
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