Provider Demographics
NPI:1306841465
Name:SOLACOFF, DAVID K (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:SOLACOFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1941 LIMESTONE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5408
Mailing Address - Country:US
Mailing Address - Phone:302-655-9494
Mailing Address - Fax:302-633-3559
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:STE 101
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5408
Practice Address - Country:US
Practice Address - Phone:302-655-9494
Practice Address - Fax:302-633-3559
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2013-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC10005472207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1306841465OtherNATIONAL PROVIDER NUMBER
G86041Medicare UPIN