Individual
DIMITRIOS MOUSTAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
315 N CARTER RD, SMYRNA, DE 19977-1282
(302) 730-4366
(302) 730-0231
Mailing address
640 S. STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 730-4366
(302) 730-0231
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1-0000263
DE
Other
Enumeration date
05/18/2017
Last updated
10/28/2024
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