Healthcare Provider Details

I. General information

NPI: 1730449208
Provider Name (Legal Business Name): DELMARVA HAND SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 05/18/2012
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: 302-644-0940
  • Fax: 302-644-0943
Mailing address:
  • Phone: 302-644-0940
  • Fax: 302-644-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberC10008726
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberC10008726D
License Number StateDE

VIII. Authorized Official

Name: DR. SCOTT MICHAEL SCHULZE
Title or Position: OWNER
Credential: M.D.
Phone: 302-644-0940