First State ENT Association Inc
Organization Active NPI Otolaryngology Physician · Newark, DE
NPI 1497137491 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1497137491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- C10008440 (DE)
- Legal business name
- FIRST STATE ENT ASSOCIATION INC
- Practice address
- 774 Christiana Road
Neuroscience Building Ste B4
Newark, DE 19713-4236 - Phone
- (302) 266-2449
- Fax
- (302) 266-2450
- NPI assigned
- Jun 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Jagdeep S Hundal, M.D.
- Title
- Owner
- Phone
- (302) 266-9166
National Provider Directory
Locations
774 Christiana Rd
Ste B4
Newark, DE 19713
Phone (302) 266-2449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | C10008440 | DE | Yes |
Addresses
Primary practice location
774 Christiana Road
Neuroscience Building Ste B4
Newark, DE 19713-4236
Mailing address
774 Christiana Road
Neuroscience Building Ste B4
Newark, DE 19713-4236
Phone (302) 266-2449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467639864 | Medicaid | DE |
Other names
- First State ENT Association
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All providers in Newark, DE · Otolaryngology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. 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.