Provider Demographics
NPI:1841298122
Name:PURCELL, PATRICIA H (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:H
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CHELTENHAM RD
Mailing Address - Street 2:WEST MINISTER
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1504
Mailing Address - Country:US
Mailing Address - Phone:302-683-9192
Mailing Address - Fax:302-655-4265
Practice Address - Street 1:1508 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4338
Practice Address - Country:US
Practice Address - Phone:302-428-1142
Practice Address - Fax:302-655-4265
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10001638208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000177702Medicaid
DE0000000584Medicare ID - Type Unspecified
DE0000177702Medicaid