Advanced Ears Nose and Throat LLC
Organization Active NPI Otolaryngology Physician · Newark, DE
NPI 1154445559 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154445559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- C10003646 (DE)
- Legal business name
- ADVANCED EARS NOSE AND THROAT LLC
- Practice address
- 774 Christiana Rd
Suite 107
Newark, DE 19713-4236 - Phone
- (302) 709-0860
- Fax
- (302) 709-0863
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph I. Ramzy, M.D.
- Title
- Owner
- Phone
- (302) 709-0860
Practitioners 29
-
Joseph I Ramzy, MD
-
Thomas J. Burke, D.O.
-
Gina M Caputo, DO
-
Joanne Greene, AUD
-
Michele D Kassien, MSN, APRN
-
Debra Ann Lynch, GNP
-
Julie Renee Sims, PA-C
-
Gerard W Stroup, PA-C
-
David James Barclay II, PA-C
-
Pradip Bhattacharjee, M.D.
-
Howard L Brooks, M.D.
-
Ali A Damavandy, M.D.
-
Alexander Dane, D.O.
-
Shannon Husebo, PA-C
-
Jennifer Lynn Larusso, D.O.
-
Priti J Patel, PA
-
Adam Jon Tinklepaugh, M.D.
National Provider Directory
Locations
774 Christiana Rd
Ste 107
Newark, DE 19713
Phone (302) 230-3376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | C10003646 | DE | Yes |
Addresses
Primary practice location
774 Christiana Rd
Suite 107
Newark, DE 19713-4236
Mailing address
774 Christiana Rd
Suite 107
Newark, DE 19713-4236
Phone (302) 709-0860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000024172 | Medicaid | DE |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.