Provider Demographics
NPI:1003973173
Name:IRENE C. SZETO, MD.
Entity Type:Organization
Organization Name:IRENE C. SZETO, MD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-832-1560
Mailing Address - Street 1:1400 PEOPLES PLZ STE 301
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5708
Mailing Address - Country:US
Mailing Address - Phone:302-832-1560
Mailing Address - Fax:302-832-7450
Practice Address - Street 1:1400 PEOPLES PLZ STE 301
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5708
Practice Address - Country:US
Practice Address - Phone:302-832-1560
Practice Address - Fax:302-832-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E75126Medicare UPIN
DE658156Medicare PIN