Organization
ACTAVIS GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX OKUNEV (PRESIDENT)
(302) 660-7600
Entity
Organization
Contact information
Practice address
536 GREENHILL AVE, WILMINGTON, DE 19805-1851
(302) 660-7600
Mailing address
536 GREENHILL AVE, WILMINGTON, DE 19805-1851
(302) 660-7600
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2015060995638
DE
Other
Enumeration date
07/16/2015
Last updated
01/15/2016
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