Healthcare Provider Details

I. General information

NPI: 1558000919
Provider Name (Legal Business Name): DHP OF DELAWARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MIDDLEFORD RD
SEAFORD DE
19973-3636
US

IV. Provider business mailing address

PO BOX 631775
CINCINNATI OH
45263-1775
US

V. Phone/Fax

Practice location:
  • Phone: 302-629-6611
  • Fax:
Mailing address:
  • Phone: 954-377-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ADA ARAGONESES
Title or Position: PROVIDER ENROLLMENT DIRECTOR
Credential: MBA
Phone: 954-377-2909