MEDICARE: CHRISTIANA CARE-ROCKWOOD PHYSICIANS, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1619006590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIANA CARE-ROCKWOOD PHYSICIANS, PA

Provider Business Mailing Address
First Line	:	2002 FOULK RD
Second Line	:	SUITE C
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3643
Country	:	US
Telephone Number	:	302-529-1975
Fax Number	:	302-529-1763

Provider Business Practice Location Address
First Line	:	2002 FOULK RD
Second Line	:	SUITE C & D
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3643
Country	:	US
Telephone Number	:	302-529-1975
Fax Number	:	302-529-1763

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CATHERINE ECCLES
Credential	:
Telephone Number	:	302-529-1975

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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