Healthcare Provider Details

I. General information

NPI: 1689051302
Provider Name (Legal Business Name): FRANZISKA HERPICH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2015
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date: 12/09/2015
Reactivation Date: 01/26/2016

III. Provider practice location address

4755 OGLETOWN STANTON RD STE 2E99
NEWARK DE
19718-2200
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD STE 2E99
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-5982
  • Fax: 302-733-6081
Mailing address:
  • Phone: 302-733-5982
  • Fax: 302-733-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberMD468133
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD468133
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC1-0024293
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberC1-0024293
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: