Healthcare Provider Details

I. General information

NPI: 1609079250
Provider Name (Legal Business Name): CATHERINE SHEA ZORC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7TH AND CLAYTON STREET SUITE 400
WILMINGTON DE
19805-3165
US

IV. Provider business mailing address

PO BOX 191 C/O PROVIDER ENROLLMENT
ROCKLAND DE
19732-0191
US

V. Phone/Fax

Practice location:
  • Phone: 302-421-9700
  • Fax: 302-421-9743
Mailing address:
  • Phone:
  • Fax: 302-651-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC10010167
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: