Healthcare Provider Details

I. General information

NPI: 1003973173
Provider Name (Legal Business Name): IRENE C. SZETO, MD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PEOPLES PLZ STE 301
NEWARK DE
19702-5708
US

IV. Provider business mailing address

1400 PEOPLES PLZ STE 301
NEWARK DE
19702-5708
US

V. Phone/Fax

Practice location:
  • Phone: 302-832-1560
  • Fax: 302-832-7450
Mailing address:
  • Phone: 302-832-1560
  • Fax: 302-832-7450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0003587
License Number StateDE

VIII. Authorized Official

Name: DR. IRENE SZETO
Title or Position: OWNER
Credential: M.D.
Phone: 302-832-1560