Healthcare Provider Details

I. General information

NPI: 1285689786
Provider Name (Legal Business Name): MARIA V. HALDAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23900 MILTON ELLENDALE HWY
MILTON DE
19968-2714
US

IV. Provider business mailing address

400 SAVANNAH RD SUITE B
LEWES DE
19958-1499
US

V. Phone/Fax

Practice location:
  • Phone: 302-684-2033
  • Fax: 888-987-4302
Mailing address:
  • Phone: 302-645-3555
  • Fax: 302-644-3560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0005071
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: