Organization
DELAWARE BAY SURGICAL SERVICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER M KATZ M.D. (OWNER)
(302) 645-5650
Entity
Organization
Contact information
Practice address
33664 BAYVIEW MEDICAL DRIVE, UNIT 2, LEWES, DE 19958
(302) 644-4954
(302) 645-5481
Mailing address
33664 BAYVIEW MEDICAL DRIVE, UNIT 2, LEWES, DE 19958
(302) 644-4954
(302) 645-5481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2086S0129X
Vascular Surgery Physician
Primary
C2-0007933
DE
363L00000X
Nurse Practitioner
LG-0000358
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000236002
—
DE
Enumeration date
01/10/2007
Last updated
11/17/2010
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