Healthcare Provider Details

I. General information

NPI: 1720032675
Provider Name (Legal Business Name): ERCILIA E ARIAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SAVANNAH RD SUITE B
LEWES DE
19958-1499
US

IV. Provider business mailing address

400 SAVANNAH RD SUITE A
LEWES DE
19958-1499
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3555
  • Fax: 302-644-3560
Mailing address:
  • Phone: 302-645-3232
  • Fax: 302-645-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC1-0005133
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC1-0005133
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0005133
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberC1-0005133
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: