Provider Demographics
NPI:1063469468
Name:DRS. STRAUSS, COSTLEIGH & ASSOCIATES PA
Entity Type:Organization
Organization Name:DRS. STRAUSS, COSTLEIGH & ASSOCIATES PA
Other - Org Name:DELMARVA RADIATION SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTLEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-3775
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-0497
Mailing Address - Country:US
Mailing Address - Phone:302-645-3775
Mailing Address - Fax:
Practice Address - Street 1:424 SAVANNAH RD
Practice Address - Street 2:TUNNELL CANCER CENTER
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1462
Practice Address - Country:US
Practice Address - Phone:302-645-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty