Healthcare Provider Details

I. General information

NPI: 1003848474
Provider Name (Legal Business Name): WILLIAM JOHN GEIMEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 W CHESTNUT HILL RD SUITE 1
NEWARK DE
19713-2210
US

IV. Provider business mailing address

179 W CHESTNUT HILL RD SUITE 1
NEWARK DE
19713-2210
US

V. Phone/Fax

Practice location:
  • Phone: 302-453-1343
  • Fax: 302-453-1654
Mailing address:
  • Phone: 302-453-1343
  • Fax: 302-453-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberC1-0001765
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: