Provider Demographics
NPI:1346635943
Name:SIU, CINDY W (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:W
Last Name:SIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-0629
Mailing Address - Country:US
Mailing Address - Phone:302-670-9296
Mailing Address - Fax:
Practice Address - Street 1:301 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1800
Practice Address - Country:US
Practice Address - Phone:302-536-2580
Practice Address - Fax:302-725-5778
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0005890207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine