Healthcare Provider Details

I. General information

NPI: 1427361088
Provider Name (Legal Business Name): SURGERY CENTERS OF DELMARVA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 12/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BIDDLE AVE SUITE 110
NEWARK DE
19702-3981
US

IV. Provider business mailing address

100 BIDDLE AVE SUITE 101
NEWARK DE
19702-3981
US

V. Phone/Fax

Practice location:
  • Phone: 302-838-4330
  • Fax: 302-838-4280
Mailing address:
  • Phone: 302-369-1700
  • Fax: 302-369-1122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANK FALCO
Title or Position: PRESIDENT-CEO
Credential: M.D.
Phone: 302-369-1700