Healthcare Provider Details

I. General information

NPI: 1750336541
Provider Name (Legal Business Name): PULMONARY ASSOCIATES P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7TH & CLAYTON STS MED OFC BLDG SUITE 500
WILMINGTON DE
19805-4418
US

IV. Provider business mailing address

4745 OGLETOWN STANTON RD SUITE 220
NEWARK DE
19713-2067
US

V. Phone/Fax

Practice location:
  • Phone: 302-613-5080
  • Fax: 302-327-7313
Mailing address:
  • Phone: 302-368-5515
  • Fax: 302-366-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number1989017157
License Number StateDE

VIII. Authorized Official

Name: DR. ALBERT A RIZZO
Title or Position: OWNER
Credential: MD
Phone: 302-368-5515