Healthcare Provider Details

I. General information

NPI: 1144940479
Provider Name (Legal Business Name): NEWARK EMERGENCY MEDICAL PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 E MAIN ST
NEWARK DE
19711-7150
US

IV. Provider business mailing address

PO BOX 1137
HOCKESSIN DE
19707-5137
US

V. Phone/Fax

Practice location:
  • Phone: 302-738-4300
  • Fax:
Mailing address:
  • Phone: 302-352-0517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT LYNN
Title or Position: PRESIDENT
Credential:
Phone: 302-738-4300