Healthcare Provider Details

I. General information

NPI: 1730355678
Provider Name (Legal Business Name): SUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY UNIT 305 BEEBE HEALTH CAMPUS, MEDICAL ARTS CENTER
REHOBOTH BEACH DE
19971-4477
US

IV. Provider business mailing address

21505 WILLOW LN
LEWES DE
19958-6034
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-7201
  • Fax: 302-644-7218
Mailing address:
  • Phone: 302-947-4507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC10006856
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberC10006874
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberC10006856
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC10006856
License Number StateDE

VIII. Authorized Official

Name: REETU SINGH
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 302-249-9970