Organization
CHRISTIANA MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BRICE M.D. (PHYSICIAN)
(410) 398-3868
Entity
Organization
Contact information
Practice address
4735 OGLETOWN STANTON RD, SUITE 2201, NEWARK, DE 19713-2072
(410) 398-3868
(410) 392-9289
Mailing address
4735 OGLETOWN STANTON RD, SUITE 2201, NEWARK, DE 19713-2072
(410) 398-3868
(410) 392-9289
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000703702
—
DE
01
—
CD0294
MEDICARE RAILROAD GROUP
DE
Enumeration date
06/09/2006
Last updated
05/05/2008
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