Healthcare Provider Details

I. General information

NPI: 1528292257
Provider Name (Legal Business Name): CAITLIN ANN HALBERT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2009
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD SUITE 102
NEWARK DE
19713-2145
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD SUITE 102
NEWARK DE
19713-2145
US

V. Phone/Fax

Practice location:
  • Phone: 302-892-9900
  • Fax: 302-892-9980
Mailing address:
  • Phone: 302-892-9900
  • Fax: 302-892-9980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number273400
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC2-0011341
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: