Healthcare Provider Details
I. General information
NPI: 1982944724
Provider Name (Legal Business Name): HARMONY WELLNES CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2013
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4133 OGLETOWN STANTON RD
NEWARK DE
19713-4168
US
IV. Provider business mailing address
4133 OGLETOWN STANTON RD
NEWARK DE
19713-4168
US
V. Phone/Fax
- Phone: 302-369-6900
- Fax: 302-369-9777
- Phone: 302-369-6900
- Fax: 302-369-9777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0106X |
| Taxonomy | Oral and Maxillofacial Pathology Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LINDA
LE
NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 302-369-6900