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 |