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Individual

CHARIZZA A SALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1102 S DUPONT HWY, SUITE 1, DOVER, DE 19901-4493
(302) 264-9691
(302) 264-9920
Mailing address
1102 S DUPONT HWY, SUITE 1, DOVER, DE 19901-4493
(302) 264-9691
(302) 264-9920

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10008929
DE
208000000X
Pediatrics Physician
D0065826
MD
208D00000X
General Practice Physician
C10008929
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891987509
DE
01
D0065826
MD LICENSE
MD
Enumeration date
08/16/2007
Last updated
04/14/2015
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