Healthcare Provider Details

I. General information

NPI: 1073442513
Provider Name (Legal Business Name): CORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 S QUEEN ST STE 2
DOVER DE
19904-3529
US

IV. Provider business mailing address

1601 MAIN ST
WARRINGTON PA
18976-2494
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JON ANDREWS
Title or Position: OWNER
Credential:
Phone: 302-601-1350