Healthcare Provider Details

I. General information

NPI: 1639129893
Provider Name (Legal Business Name): NEW CASTLE HEARING SPEECH VESTIBULAR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NORTH CLAYTON STREET
WILMINGTON DE
19805
US

IV. Provider business mailing address

PO BOX 993
WILMINGTON DE
19899-0993
US

V. Phone/Fax

Practice location:
  • Phone: 302-656-6510
  • Fax: 302-656-5251
Mailing address:
  • Phone: 302-654-4327
  • Fax: 302-656-5251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: EMILIO R VALDES JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 302-656-6510