Organization
CARDIOVASCULAR CONSULTANTS OF SOUTHERN DELAWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P SUNNEGREN M.D. (PHYSICIAN/OWNER)
(302) 645-1233
Entity
Organization
Contact information
Practice address
16704 KINGS HWY, LEWES, DE 19958-4929
(302) 645-1233
(302) 645-1228
Mailing address
16704 KINGS HWY, LEWES, DE 19958-4929
(302) 645-1233
(302) 645-1228
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C1-0002770
DE
207RC0000X
Cardiovascular Disease Physician
C1-0005239
DE
207RC0000X
Cardiovascular Disease Physician
Primary
C1-0005267
DE
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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