Healthcare Provider Details

I. General information

NPI: 1790077360
Provider Name (Legal Business Name): SURGEONS FOR EMERGENCY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-0001
US

IV. Provider business mailing address

131 CONTINENTAL DR SUITE 215
NEWARK DE
19713-4305
US

V. Phone/Fax

Practice location:
  • Phone: 302-451-5610
  • Fax:
Mailing address:
  • Phone: 302-451-5610
  • Fax: 866-670-8036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ISAIAS IRGAU
Title or Position: PHYSICIAN
Credential: MD
Phone: 302-892-9937