Healthcare Provider Details
I. General information
NPI: 1447570213
Provider Name (Legal Business Name): SEAFORD SPECIALTY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2010
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 HEALTH SERVICES DR
SEAFORD DE
19973-5769
US
IV. Provider business mailing address
400 HEALTH SERVICES DR
SEAFORD DE
19973-5769
US
V. Phone/Fax
- Phone: 302-734-7246
- Fax: 302-678-8890
- Phone: 302-734-7246
- Fax: 302-678-8890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAUDE
J
DIMARCO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-629-3400