Organization
DELMARVA RADIATION SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J COSTLEIGH MD (MEDICAL DIRECTOR/PRESIDENT)
(302) 645-3775
Entity
Organization
Contact information
Practice address
18947 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4474
(302) 645-3775
(302) 645-3774
Mailing address
PO BOX 497, LEWES, DE 19958-0497
(302) 645-3775
(302) 645-3774
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038787
—
DE
01
—
DE4449
RAILROAD MEDICARE
—
Enumeration date
06/17/2006
Last updated
06/11/2021
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