Provider Demographics
| NPI: | 1780951814 |
|---|---|
| Name: | HOSPITALIST MEDICINE PHYSICIANS OF DELAWARE, PA |
| Entity type: | Organization |
| Organization Name: | HOSPITALIST MEDICINE PHYSICIANS OF DELAWARE, PA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LAURA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FALL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 253-682-6040 |
| Mailing Address - Street 1: | 5410 MARYLAND WAY |
| Mailing Address - Street 2: | SUITE 300 |
| Mailing Address - City: | BRENTWOOD |
| Mailing Address - State: | TN |
| Mailing Address - Zip Code: | 37027-5064 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 615-377-5658 |
| Mailing Address - Fax: | 888-241-1404 |
| Practice Address - Street 1: | 701 N CLAYTON ST |
| Practice Address - Street 2: | |
| Practice Address - City: | WILMINGTON |
| Practice Address - State: | DE |
| Practice Address - Zip Code: | 19805-3165 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 615-377-5600 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-11-17 |
| Last Update Date: | 2025-03-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | Group - Single Specialty |