MEDICARE: CHRISTIANA CARE HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RI0200X	Infectious Disease Physician
2	2086S0122X	Plastic and Reconstructive Surgery Physician
3	208800000X	Urology Physician
4	363A00000X	Physician Assistant
5	363AS0400X	Surgical Physician Assistant
6	363L00000X	Nurse Practitioner
7	363LC0200X	Critical Care Medicine Nurse Practitioner
8	208600000X	Surgery Physician
9	2086S0102X	Surgical Critical Care Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407831894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIANA CARE HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 30170
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-7170
Country	:	US
Telephone Number	:	302-623-7019
Fax Number	:	302-623-7009

Provider Business Practice Location Address
First Line	:	4735 OGLETOWN STANTON RD
Second Line	:	MEDICAL ARTS PAVILION 2, SUITE 3301
City	:	NEWARK
State	:	DE
Zip	:	19713-2072
Country	:	US
Telephone Number	:	302-623-4370
Fax Number	:	302-623-4375

Authorized Official
Title or Position	:	CFO
Name	:	ROBERT W MCMURRAY JR.
Credential	:
Telephone Number	:	302-428-2522

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	11/21/2024

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