Individual
IVONNE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 MIDDLEFORD RD, SUITE 502, SEAFORD, DE 19973-3664
(302) 628-8300
(302) 628-8400
Mailing address
1350 MIDDLEFORD RD, SUITE 502, SEAFORD, DE 19973-3664
(302) 628-8300
(302) 628-8400
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
CI0006778
DE
207RR0500X
Rheumatology Physician
D0078900
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021656
—
DE
01
—
196158YC36
PTAN
—
Enumeration date
01/16/2007
Last updated
04/12/2017
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