Provider Demographics
NPI:1144216490
Name:DELMAR MEDICAL CENTER PA
Entity Type:Organization
Organization Name:DELMAR MEDICAL CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:S
Authorized Official - Last Name:SYPEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-251-6625
Mailing Address - Street 1:1350 MIDDLEFORD RD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3612
Mailing Address - Country:US
Mailing Address - Phone:302-628-4370
Mailing Address - Fax:302-628-4373
Practice Address - Street 1:1350 MIDDLEFORD RD
Practice Address - Street 2:SUITE 501
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3612
Practice Address - Country:US
Practice Address - Phone:302-628-4370
Practice Address - Fax:302-628-4373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECI0003229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000024378Medicaid
E14894Medicare UPIN
DEG01361Medicare PIN