Healthcare Provider Details

I. General information

NPI: 1558722561
Provider Name (Legal Business Name): DELAWARE CENTER FOR DIGESTIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 OGLETOWN STANTON RD STE 134
NEWARK DE
19713-2074
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD STE 203
NEWARK DE
19713-2148
US

V. Phone/Fax

Practice location:
  • Phone: 302-738-5300
  • Fax:
Mailing address:
  • Phone: 302-283-3300
  • Fax: 302-283-3321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT BENNETT
Title or Position: CEO
Credential:
Phone: 830-431-7747