Healthcare Provider Details

I. General information

NPI: 1053373423
Provider Name (Legal Business Name): RHEUMATOLOGY CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 N SCOTT ST
WILMINGTON DE
19806-2358
US

IV. Provider business mailing address

1602 NEWPORT GAP PIKE
WILMINGTON DE
19808-6208
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-0121
  • Fax: 302-655-4993
Mailing address:
  • Phone: 302-633-5840
  • Fax: 302-633-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number029258
License Number StateDE

VIII. Authorized Official

Name: DR. PHILIP SCHWARTZ
Title or Position: PARTNER
Credential: MD
Phone: 302-655-0121