Healthcare Provider Details

I. General information

NPI: 1720064751
Provider Name (Legal Business Name): JOSEPH BATTAGLIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 THE GRN UNIVERSITY OF DELAWARE LAUREL HALL
NEWARK DE
19716-0009
US

IV. Provider business mailing address

900 FOULK RD SUITE 200
WILMINGTON DE
19803-3155
US

V. Phone/Fax

Practice location:
  • Phone: 302-931-2226
  • Fax: 302-831-6407
Mailing address:
  • Phone: 302-655-8868
  • Fax: 302-655-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC2-0001540
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: