Provider Demographics
NPI:1851594766
Name:DELMARVA URGICARE CENTERS, LLC
Entity Type:Organization
Organization Name:DELMARVA URGICARE CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT - CERTIFIED
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:RILLING
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:410-543-2020
Mailing Address - Street 1:659 SOUTH SALISBURY BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-543-2020
Mailing Address - Fax:410-543-2302
Practice Address - Street 1:3809 HIGHWAY ONE
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-1711
Practice Address - Country:US
Practice Address - Phone:302-227-2774
Practice Address - Fax:302-227-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty