Healthcare Provider Details

I. General information

NPI: 1811928989
Provider Name (Legal Business Name): HELEN MCCULLOUGH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD SUITE 2300
NEWARK DE
19713-2072
US

IV. Provider business mailing address

4735 OGLETOWN STANTON RD SUITE 2300
NEWARK DE
19713-2072
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-8400
  • Fax: 302-225-1111
Mailing address:
  • Phone: 302-224-8400
  • Fax: 302-225-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC20005010
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: