STATE OF DELAWARE

DOVER, DE
NPI1114087921
Entity TypeOrganization
Authorized ContactHERMAN ELLIS
Medical Director
302-744-4700
Organization Subpart ?No
Primary Taxonomy261QS1000X Clinic/Center Student Health
Enumeration Date2006-12-11
Last Update Date2020-08-22
Business Address
STATE OF DELAWARE
417 FEDERAL ST
DOVER, DE 19901-3635
Phone number: 302-744-4849
Mailing Address
STATE OF DELAWARE
417 FEDERAL ST
DOVER, DE 19901-3635
Phone number: 302-744-4849
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