MEDICARE: DR. NEIL SCOTT KALIN 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	207W00000X	Ophthalmology Physician	C1-0003915	DE

General Provider Information

NPI Number	:	1861499303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL SCOTT KALIN MD

Provider Business Mailing Address
First Line	:	314 E MAIN ST
Second Line	:	KELWAY PLAZA, SUITE 302
City	:	NEWARK
State	:	DE
Zip	:	19711-7128
Country	:	US
Telephone Number	:	302-731-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 E MAIN ST
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-7128
Country	:	US
Telephone Number	:	302-731-2020
Fax Number	:	302-737-6908

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/05/2008

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