Healthcare Provider Details

I. General information

NPI: 1255691937
Provider Name (Legal Business Name): CHRISTINE YANKOWSKI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 OGLETOWN-STANTON RD MAP 1, SUITE 217
NEWARK DE
19713
US

IV. Provider business mailing address

4745 OGLETOWN-STANTON RD MAP 1, SUITE 217
NEWARK DE
19713
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-2410
  • Fax:
Mailing address:
  • Phone: 302-733-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberC2-0012609
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: