Healthcare Provider Details

I. General information

NPI: 1881159010
Provider Name (Legal Business Name): IRENE C SZETO MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BECKS WOODS DR STE 100
BEAR DE
19701-3853
US

IV. Provider business mailing address

121 BECKS WOODS DR STE 100
BEAR DE
19701-3853
US

V. Phone/Fax

Practice location:
  • Phone: 302-832-1560
  • Fax: 302-832-7450
Mailing address:
  • Phone: 302-832-1560
  • Fax: 302-832-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: IRENE C SZETO
Title or Position: OWNER
Credential: MD
Phone: 302-832-1560