Healthcare Provider Details

I. General information

NPI: 1174157390
Provider Name (Legal Business Name): MARCIA F SAUNDERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WESTBRAE LN
WILMINGTON DE
19807-2026
US

IV. Provider business mailing address

3 WESTBRAE LN
WILMINGTON DE
19807-2026
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-7688
  • Fax:
Mailing address:
  • Phone: 302-658-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDE0002999
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: