Healthcare Provider Details

I. General information

NPI: 1750776951
Provider Name (Legal Business Name): DAVID CHRISTOPHER PALANGE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 01/03/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD STE 4000
NEWARK DE
19713-2075
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD STE 4000
NEWARK DE
19713-2075
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-7533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberC2-0023913
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC2-0023913
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: