Healthcare Provider Details

I. General information

NPI: 1548329790
Provider Name (Legal Business Name): MORGAN KALMAN CLINIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 SILVERSIDE RD
WILMINGTON DE
19810-3726
US

IV. Provider business mailing address

2501 SILVERSIDE RD
WILMINGTON DE
19810-3726
US

V. Phone/Fax

Practice location:
  • Phone: 302-529-5500
  • Fax: 302-529-5555
Mailing address:
  • Phone: 302-529-5500
  • Fax: 302-529-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CRAIG DOUGLAS MORGAN
Title or Position: PRESIDENT
Credential: MD
Phone: 302-529-5500