Provider Demographics
NPI:1821433228
Name:CHRISTIANA CARE HEALTH SYSTEM
Entity Type:Organization
Organization Name:CHRISTIANA CARE HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERN PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOFEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-782-2492
Mailing Address - Street 1:503 CHRISTIANA MDWS
Mailing Address - Street 2:265 BEAR CHRISTIANA ROAD
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2808
Mailing Address - Country:US
Mailing Address - Phone:516-782-2492
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA CARE HEALTH SYSTEM
Practice Address - Street 2:4755 OGLETOWN-STANTON RD.,
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital