Organization
DOVER SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY PICCIONI M.D. (MEDICAL DIRECTOR)
(302) 270-2798
Entity
Organization
Contact information
Practice address
100 SCULL TER, DOVER, DE 19901-3577
(302) 270-2798
Mailing address
100 SCULL TER, DOVER, DE 19901-3577
(302) 270-2798
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165A87
BCBS OF DELAWARE
DE
Enumeration date
02/01/2007
Last updated
03/03/2008
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