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General NPI Number Information
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NPI Number | 1982872099
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Entity Type | Organization
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Legal Business Name | JOHN R STUMP MD
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 200 KONA CIR
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City | MILFORD
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State | DE
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Zip | 19963-5396
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Country | US
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Telephone | 302-424-0523
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Fax | 302-424-2415
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Provider Business Mailing Address
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Address Line | 200 KONA CIR
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City | MILFORD
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State | DE
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Zip | 19963-5396
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Country | US
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Telephone | 302-424-0523
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Fax | 302-424-2415
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Authorized Official
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Title or Position | DOCTOR
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Name | JOHN R STUMP
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Credential | MD
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Telephone | 302-424-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | C10003146
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License Number State | DE
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