Healthcare Provider Details

I. General information

NPI: 1245285550
Provider Name (Legal Business Name): DELAWARE NEUROLOGY ASSOCIATES,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34434 KING STREET ROW SUITE 2
LEWES DE
19958-4787
US

IV. Provider business mailing address

34434 KING STREET ROW SUITE 2
LEWES DE
19958-4787
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-8880
  • Fax: 302-644-8882
Mailing address:
  • Phone: 302-644-8880
  • Fax: 302-644-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM A THOMAS
Title or Position: OFFICE MANAGER
Credential: MD
Phone: 302-644-8880