Provider Demographics
NPI:1093800807
Name:CENTRAL DELAWARE ENDOSCOPY UNIT
Entity Type:Organization
Organization Name:CENTRAL DELAWARE ENDOSCOPY UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-677-1617
Mailing Address - Street 1:644 S QUEEN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3543
Mailing Address - Country:US
Mailing Address - Phone:302-677-1617
Mailing Address - Fax:302-677-1669
Practice Address - Street 1:644 S QUEEN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3543
Practice Address - Country:US
Practice Address - Phone:302-677-1617
Practice Address - Fax:302-677-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1996106283261QE0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE310458Medicare ID - Type Unspecified