Provider Demographics
NPI:1639129893
Name:NEW CASTLE HEARING SPEECH VESTIBULAR CENTER
Entity type:Organization
Organization Name:NEW CASTLE HEARING SPEECH VESTIBULAR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:302-656-6510
Mailing Address - Street 1:PO BOX 993
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19899-0993
Mailing Address - Country:US
Mailing Address - Phone:302-654-4327
Mailing Address - Fax:302-656-5251
Practice Address - Street 1:700 NORTH CLAYTON STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-656-6510
Practice Address - Fax:302-656-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty