Healthcare Provider Details

I. General information

NPI: 1811289267
Provider Name (Legal Business Name): UHS OF DOVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 HORSEPOND RD
DOVER DE
19901-7232
US

IV. Provider business mailing address

725 HORSEPOND RD
DOVER DE
19901-7232
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7688
  • Fax:
Mailing address:
  • Phone: 302-744-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KUMAR PUROHIT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 302-744-7688