Organization
EASTERN SHORES GASTROENTEROLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C DECKMANN MD (PHYSICIAN PARTNER)
(302) 645-9325
Entity
Organization
Contact information
Practice address
33663 BAYVIEW MEDICAL DR, UNIT 2, LEWES, DE 19958-1663
(302) 645-9325
(302) 645-5214
Mailing address
33663 BAYVIEW MEDICAL DR, UNIT 2, LEWES, DE 19958-1663
(302) 645-9325
(302) 645-5214
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000513804
—
DE
Enumeration date
09/12/2006
Last updated
08/22/2020
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