Healthcare Provider Details
I. General information
NPI: 1689849697
Provider Name (Legal Business Name): KOJO DANQUAH ARKHURST M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/30/2008
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7TH AND CLAYTON STREETS
WILMINGTON DE
19805
US
IV. Provider business mailing address
354 NORTHHAMPTON WAY
MIDDLETOWN DE
19709-8340
US
V. Phone/Fax
- Phone: 302-575-8041
- Fax:
- Phone: 302-449-0049
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C1-0009690 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: