Healthcare Provider Details
I. General information
NPI: 1518227495
Provider Name (Legal Business Name): SOPHONIE NOEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/24/2012
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 FOULK RD
WILMINGTON DE
19803-3155
US
IV. Provider business mailing address
800 DELAWARE AVE FL 5
WILMINGTON DE
19801-1366
US
V. Phone/Fax
- Phone: 302-777-4800
- Fax:
- Phone: 302-266-9166
- Fax: 866-670-8036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | C1-0013346 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: