Healthcare Provider Details

I. General information

NPI: 1275976417
Provider Name (Legal Business Name): AMY E MCGHEE JEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY E MCGHEE

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD SUITE 3400
NEWARK DE
19713
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD SUITE 3400
NEWARK DE
19713
US

V. Phone/Fax

Practice location:
  • Phone: 302-366-1200
  • Fax: 302-366-1700
Mailing address:
  • Phone: 302-366-1200
  • Fax: 302-366-1700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC10013146
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: