Individual
GREGORY V. MARCOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 FOULK RD STE 205, WILMINGTON, DE 19803-2764
(302) 998-0300
Mailing address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
(302) 999-7943
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C1-0004987
DE
207KA0200X
Allergy Physician
C1-0004987
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001007701
—
DE
01
—
030003889
RAILROAD MEDICARE
—
Enumeration date
01/03/2006
Last updated
04/25/2022
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