Healthcare Provider Details

I. General information

NPI: 1871651380
Provider Name (Legal Business Name): DELAWARE MEDICAL ASSOCIATES P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 FOULK ROAD
WILMINGTON DE
19810
US

IV. Provider business mailing address

2101 FOULK ROAD
WILMINGTON DE
19810
US

V. Phone/Fax

Practice location:
  • Phone: 302-475-3385
  • Fax: 302-475-2720
Mailing address:
  • Phone: 302-475-3385
  • Fax: 302-475-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARMAND NEAL DESANCTIS JR.
Title or Position: OWNER/CEO
Credential: M.D.
Phone: 302-475-3385