Healthcare Provider Details

I. General information

NPI: 1609864982
Provider Name (Legal Business Name): JAMES E. SPELLMAN JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY SUITE 205
REHOBOTH BEACH DE
19971-4474
US

IV. Provider business mailing address

400 SAVANNAH RD SUITE B
LEWES DE
19958-1499
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-0964
  • Fax: 302-644-0968
Mailing address:
  • Phone: 302-645-6555
  • Fax: 302-644-3560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberC10004807
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: