Provider Demographics
NPI:1174658470
Name:CHRISTIANA CARE
Entity Type:Organization
Organization Name:CHRISTIANA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT-PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:OLUWOLE
Authorized Official - Last Name:OLOWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-733-6339
Mailing Address - Street 1:C/O ACADEMIC AFFAIRS, SUITE 2A00, CHRISTIANA HOSPITAL
Mailing Address - Street 2:P.O.BOX 6001
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718
Mailing Address - Country:US
Mailing Address - Phone:302-322-2401
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN-STANTON ROAD
Practice Address - Street 2:SUITE 2A00
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718
Practice Address - Country:US
Practice Address - Phone:302-322-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC70003211282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital