Provider Demographics
NPI:1073192696
Name:BELL, HERBERT LLOYD GUSTARY (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:LLOYD GUSTARY
Last Name:BELL
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 SAINT JAMES CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4033
Mailing Address - Country:US
Mailing Address - Phone:909-615-4102
Mailing Address - Fax:
Practice Address - Street 1:2603 SAINT JAMES CHURCH RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4033
Practice Address - Country:US
Practice Address - Phone:909-615-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
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