Healthcare Provider Details
I. General information
NPI: 1992914071
Provider Name (Legal Business Name): OBSTETRICS & GYNECOLOGY OF NEW CASTLE CO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 WASHINGTON STREET
WILMINGTON DE
19801
US
IV. Provider business mailing address
PO BOX 4307
GREENVILLE DE
19807-0307
US
V. Phone/Fax
- Phone: 302-421-4783
- Fax: 302-421-4777
- Phone: 302-421-4783
- Fax: 302-421-4777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
J
COSGROVE
Title or Position: PRESIDENT
Credential: D.O.
Phone: 302-421-4783