Organization
DIRM SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEFFREY B RUSSELL MD (PRESIDENT)
(302) 738-4600
Entity
Organization
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 117, NEWARK, DE 19713-2067
(302) 738-4600
(302) 738-3508
Mailing address
4745 OGLETOWN STANTON RD, SUITE 111, NEWARK, DE 19713-2067
(302) 738-4600
(302) 738-3508
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
C10002852DE
DE
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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