Healthcare Provider Details

I. General information

NPI: 1386729820
Provider Name (Legal Business Name): MEDICAL CENTER OF HARRINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 SHAW AVENUE
HARRINGTON DE
19952-1220
US

IV. Provider business mailing address

203 SHAW AVENUE
HARRINGTON DE
19952-1220
US

V. Phone/Fax

Practice location:
  • Phone: 302-398-8704
  • Fax: 302-398-8818
Mailing address:
  • Phone: 302-398-8704
  • Fax: 302-398-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC20000334
License Number StateDE

VIII. Authorized Official

Name: DR. VINCENT LOBO
Title or Position: OWNER PHYSICIAN
Credential: DO
Phone: 302-398-8704