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Organization

NANTICOKE SURGICAL ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN DANIEL CARES M.D. (PRESIDENT)
(302) 629-8662
Entity
Organization

Contact information

Practice address
543 N SHIPLEY ST, SEAFORD, DE 19973-2339
(302) 629-8662
(302) 629-7661
Mailing address
543 N SHIPLEY ST, SEAFORD, DE 19973-2339
(302) 629-8662
(302) 629-7661

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1989027203
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000137502
DE
01
0108680000
AMERIHEALTH HMO
DE
01
487744
AMERIHEALTH PERSONAL CHOI
DE
01
792499
MDIPA
DE
01
99032
AETNA
DE
01
CE2117
RAILROAD MEDICARE
DE
Enumeration date
01/30/2007
Last updated
04/20/2008
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