Crestview Medical Center P A
Crestview Medical Center P A is a Preferred Provider Organization in Wilmington, Delaware. Licensed in Delaware. Registered with an NPI since 2007.
- Licensed in
- DE
- In the registry since
- 2007
Practice location Address checks out
1800 N Broom St Ste 109Wilmington, DE 19802-3809
Phone: (302) 762-4545
Fax: (302) 762-9086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence C2-0004996 (DE) |
|---|
Record details
| NPI number | 1023147493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clement Ogunwande — Medical Director · (302) 762-4545 |
| NPI enumerated | March 3, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1800 N Broom St, Suite 109, Wilmington, DE 19802-3809 |