Healthcare Provider Details

I. General information

NPI: 1174540850
Provider Name (Legal Business Name): ROCKLAND SURGERY CENTER, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 CENTERVILLE RD SUITE 100
WILMINGTON DE
19808-1652
US

IV. Provider business mailing address

2710 CENTERVILLE RD SUITE 100
WILMINGTON DE
19808-1652
US

V. Phone/Fax

Practice location:
  • Phone: 302-999-0200
  • Fax: 302-999-0293
Mailing address:
  • Phone: 302-999-0200
  • Fax: 302-999-0283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEWART GREGORY SMITH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 302-993-1300