Healthcare Provider Details

I. General information

NPI: 1679584841
Provider Name (Legal Business Name): VIRGINIA UPCHURCH COLLIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHRISTIANA HOSPITAL 4755 OGLETOWN STANTON ROAD
NEWARK DE
19718-0002
US

IV. Provider business mailing address

CHRISTIANA HOSPITAL 4755 OGLETOWN STANTON ROAD
NEWARK DE
19718-0002
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-6343
  • Fax: 302-733-6378
Mailing address:
  • Phone: 302-733-6343
  • Fax: 302-733-6378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberC1-0003208
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: