Healthcare Provider Details

I. General information

NPI: 1356968911
Provider Name (Legal Business Name): BIANCA CAVEDONI URBANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W 14TH ST FL 5
WILMINGTON DE
19801-1013
US

IV. Provider business mailing address

501 W 14TH ST FL 5
WILMINGTON DE
19801-1013
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-3017
  • Fax: 302-266-9962
Mailing address:
  • Phone: 302-623-3017
  • Fax: 302-266-9962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC1-0028845
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD483117
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: