Provider Demographics
NPI:1568734911
Name:OCCUPATIONAL HEALTH SERVICES OF DELAWARE LLC
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH SERVICES OF DELAWARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:610-806-2077
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 1175
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-0111
Mailing Address - Fax:
Practice Address - Street 1:200 HYGEIA DR
Practice Address - Street 2:SUITE 1175
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0000982261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine