Provider Demographics
NPI:1659302826
Name:ALL ABOUT WOMEN OF CHRISTIANA CARE, INC
Entity Type:Organization
Organization Name:ALL ABOUT WOMEN OF CHRISTIANA CARE, INC
Other - Org Name:ALL ABOUT WOMEN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRACKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-224-8400
Mailing Address - Street 1:4735 OGLETOWN-STANTON ROAD
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-224-8400
Mailing Address - Fax:302-225-1111
Practice Address - Street 1:4735 OGLETOWN-STANTON ROAD
Practice Address - Street 2:SUITE 2300
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-224-8400
Practice Address - Fax:302-225-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG02285OtherMEDICARE GROUP NUMBER
DEG02285OtherMEDICARE GROUP NUMBER