Organization
CHRISTIANA SPINE CENTER PA
Active
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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