Healthcare Provider Details

I. General information

NPI: 1609851930
Provider Name (Legal Business Name): DAVID A SIMPSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOULK RD SUITE 100B
WILMINGTON DE
19803-2763
US

IV. Provider business mailing address

PO BOX 30170
WILMINGTON DE
19805-7170
US

V. Phone/Fax

Practice location:
  • Phone: 302-477-3300
  • Fax: 302-477-3168
Mailing address:
  • Phone: 302-477-3300
  • Fax: 302-477-3168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberC10004561
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC10004561
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: