Provider Demographics
NPI:1043276272
Name:DIAZ-STANCHI, MARIA A (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:DIAZ-STANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 SILVERSIDE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3719
Mailing Address - Country:US
Mailing Address - Phone:302-478-0400
Mailing Address - Fax:302-478-3827
Practice Address - Street 1:2700 SILVERSIDE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3719
Practice Address - Country:US
Practice Address - Phone:302-478-0400
Practice Address - Fax:302-478-3827
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECI0003704173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE110117904OtherMETRAHEALTH
DE531F17OtherBLUE CROSS BLUE SHIELD
DE4290066OtherAETNA
DE0402215OtherUNITED HEALTH CARE
DE0514043000OtherAMERIHEALTH
DE000406801Medicaid
DE45945OtherCOVENTRY
DE856372OtherOPTIMUM CHOICE
DE000406801Medicaid
DE531F17OtherBLUE CROSS BLUE SHIELD