Provider Demographics
NPI:1033221528
Name:LITTLE, BRIAN W (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:W
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:4755 OGLETOWN-STANTON ROAD
Mailing Address - Street 2:OFFICE OF ACADEMIC AFFAIRS & RESEARCH
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0001
Mailing Address - Country:US
Mailing Address - Phone:302-733-1042
Mailing Address - Fax:302-733-1068
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:OFFICE OF ACADEMIC AFFAIRS & RESEARCH
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0002
Practice Address - Country:US
Practice Address - Phone:302-733-1042
Practice Address - Fax:302-733-1068
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-006110207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology