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General NPI Number Information
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NPI Number | 1104854850
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Entity Type | Organization
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Legal Business Name | CHRISTIANA INSTITUTE OF ADVANCED SURGERY, PA
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 537 STANTON CHRISTIANA ROAD STE 102
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City | NEWARK
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State | DE
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Zip | 19713-2145
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Country | US
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Telephone | 302-892-9900
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Fax | 302-892-9980
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Provider Business Mailing Address
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Address Line | 537 STANTON CHRISTIANA ROAD STE 102
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City | NEWARK
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State | DE
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Zip | 19713-2145
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Country | US
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Telephone | 302-892-9900
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Fax | 302-892-9980
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. ISAIAS IRGAU
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Credential | MD
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Telephone | 302-892-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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