Healthcare Provider Details

I. General information

NPI: 1396730974
Provider Name (Legal Business Name): UROLOGY ASSOCIATES OF DELAWARE P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date: 06/14/2023
Reactivation Date: 07/06/2023

III. Provider practice location address

200 BANNING ST SUITE 250
DOVER DE
19904
US

IV. Provider business mailing address

200 BANNING ST SUITE 250
DOVER DE
19904
US

V. Phone/Fax

Practice location:
  • Phone: 302-736-1320
  • Fax: 302-736-0769
Mailing address:
  • Phone: 302-736-1320
  • Fax: 302-736-0769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY SPANA
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 302-222-7368