Organization
CHRISTIANA SPINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MYERS (OFFICE MANAGER)
(302) 623-4161
Entity
Organization
Contact information
Practice address
4735 OGLETOWN STANTON RD, STE 3302, NEWARK, DE 19713
(302) 623-4144
(302) 623-4289
Mailing address
4735 OGLETOWN STANTON RD, STE 3302, NEWARK, DE 19713
(302) 623-4144
(302) 623-4289
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207X00000X
—
DE
01
—
2291480
AETNA/USHC
—
01
—
5103889378
BLUE CROSS BLUE SHIELD
DE
01
—
720356
PERSONAL CHOICE
—
01
—
77069000
AMERIHEALTH/KEYSTONE
—
01
—
CB6441
RAILROAD MEDICARE
—
Enumeration date
08/01/2006
Last updated
11/09/2018
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