Provider Demographics
NPI:1740347814
Name:SZETO, IRENE C (MD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:C
Last Name:SZETO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:121 BECKS WOODS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3851
Mailing Address - Country:US
Mailing Address - Phone:866-862-2955
Mailing Address - Fax:302-836-4302
Practice Address - Street 1:121 BECKS WOODS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3851
Practice Address - Country:US
Practice Address - Phone:866-862-2955
Practice Address - Fax:302-836-4302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0003587208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000442601Medicaid
DE110078594OtherRAILROAD MEDICARE
DE000442601Medicaid
DE658156Medicare PIN