Healthcare Provider Details

I. General information

NPI: 1124130778
Provider Name (Legal Business Name): DAVID MARC EPSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BIDDLE AVE STE 206 SPRINGSIDE PLAZA, CONNOR BUILDING
NEWARK DE
19702-3969
US

IV. Provider business mailing address

300 BIDDLE AVE STE 206 SPRINGSIDE PLAZA, CONNOR BUILDING
NEWARK DE
19702-3969
US

V. Phone/Fax

Practice location:
  • Phone: 302-392-2077
  • Fax: 302-392-0020
Mailing address:
  • Phone: 302-392-2077
  • Fax: 302-392-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0002711
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: