Provider Demographics
NPI:1568008423
Name:SUSSEX MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:SUSSEX MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-629-6664
Mailing Address - Street 1:401 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:BLADES
Mailing Address - State:DE
Mailing Address - Zip Code:19973-4274
Mailing Address - Country:US
Mailing Address - Phone:302-629-6664
Mailing Address - Fax:
Practice Address - Street 1:401 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BLADES
Practice Address - State:DE
Practice Address - Zip Code:19973-4274
Practice Address - Country:US
Practice Address - Phone:302-629-6664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty