Organization
CNMRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY A LENOX (PRACTICE MANAGER)
(302) 346-2491
Entity
Organization
Contact information
Practice address
1095 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8100
Mailing address
1095 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8100
(888) 990-1108
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C10002687
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059401
—
DE
01
—
C10002687
MEDICAL LICENSE
DE
Enumeration date
05/28/2006
Last updated
02/16/2022
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