MEDICARE: DR. DAVID K SOLACOFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	C10005472	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1306841465	OTHER	DE	NATIONAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1306841465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID K SOLACOFF MD

Provider Business Mailing Address
First Line	:	1941 LIMESTONE RD
Second Line	:	STE 101
City	:	WILMINGTON
State	:	DE
Zip	:	19808-5408
Country	:	US
Telephone Number	:	302-655-9494
Fax Number	:	302-633-3559

Provider Business Practice Location Address
First Line	:	1941 LIMESTONE RD
Second Line	:	STE 101
City	:	WILMINGTON
State	:	DE
Zip	:	19808-5408
Country	:	US
Telephone Number	:	302-655-9494
Fax Number	:	302-633-3559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/02/2013

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