Provider Demographics
NPI:1326391129
Name:PATRICIA H PURCELL MD PA
Entity Type:Organization
Organization Name:PATRICIA H PURCELL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-428-1142
Mailing Address - Street 1:1508 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4338
Mailing Address - Country:US
Mailing Address - Phone:302-428-1142
Mailing Address - Fax:302-655-4265
Practice Address - Street 1:1508 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4338
Practice Address - Country:US
Practice Address - Phone:302-428-1142
Practice Address - Fax:302-655-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty