Healthcare Provider Details

I. General information

NPI: 1972520716
Provider Name (Legal Business Name): TOOZE EASTER & MANIFOLD M.D. P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S QUEEN ST
DOVER DE
19904-3567
US

IV. Provider business mailing address

720 S QUEEN ST
DOVER DE
19904-3567
US

V. Phone/Fax

Practice location:
  • Phone: 302-735-8705
  • Fax: 302-735-8703
Mailing address:
  • Phone: 302-735-8705
  • Fax: 302-735-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOAN E DENNEY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 302-735-8705