Healthcare Provider Details
I. General information
NPI: 1922078476
Provider Name (Legal Business Name): CHRISTIANA CARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4745 STANTON OGLETWN RD
NEWARK DE
19713-2067
US
IV. Provider business mailing address
PO BOX 2653
WILMINGTON DE
19805-0653
US
V. Phone/Fax
- Phone: 302-623-7200
- Fax:
- Phone: 302-623-7189
- Fax: 302-623-7374
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
W
MCMURRAY
JR.
Title or Position: CFO
Credential:
Phone: 302-428-2522