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NPI Code Detail

MEDICARE: DR. RODRIGO CORDERO TANCHANCO MD

MEDICARE: DR. RODRIGO CORDERO TANCHANCO 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
1207R00000XInternal Medicine PhysicianC10004917DE

General Provider Information

NPI Number : 1356344816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODRIGO CORDERO TANCHANCO MD
Provider Business Mailing Address
First Line : 102 SLEEPY HOLLOW DR
Second Line : STE 101
City : MIDDLETOWN
State : DE
Zip : 19709-8894
Country : US
Telephone Number : 302-376-9888
Fax Number : 302-376-9160
Provider Business Practice Location Address
First Line : 102 SLEEPY HOLLOW DR
Second Line : SUITE 101
City : MIDDLETOWN
State : DE
Zip : 19709-5841
Country : US
Telephone Number : 302-376-9888
Fax Number : 302-376-9160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/08/2011

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