Healthcare Provider Details

I. General information

NPI: 1174711949
Provider Name (Legal Business Name): SURGERY CENTERS OF DELMARVA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CHESAPEAKE BLVD SUITE C
ELKTON MD
21921-6313
US

IV. Provider business mailing address

139 E CHESTNUT HILL RD
NEWARK DE
19713-4043
US

V. Phone/Fax

Practice location:
  • Phone: 302-369-1700
  • Fax: 302-369-1717
Mailing address:
  • Phone: 302-369-1700
  • Fax: 302-369-1717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK J FALCO
Title or Position: PRESIDENT-CEO
Credential: M.D
Phone: 302-369-1700