Healthcare Provider Details

I. General information

NPI: 1578566170
Provider Name (Legal Business Name): LAMBERTO MAGNO ARELLANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 MONROE TER
DOVER DE
19904-4117
US

IV. Provider business mailing address

811 MONROE TER
DOVER DE
19904-4117
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-3537
  • Fax: 302-734-0538
Mailing address:
  • Phone: 302-734-3537
  • Fax: 302-734-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC1-0001956
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: