Basic Information
Provider Information
NPI: 1396953402
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POSHOGHLIAN
FirstName: HAGOP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026514000
FaxNumber: 3026514945
Practice Location
Address1: 1600 ROCKLAND RD
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber: 3026515948
Other Information
ProviderEnumerationDate: 05/21/2007
LastUpdateDate: 06/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XN3998TXN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
208000000XMD2011-0124NMN Allopathic & Osteopathic PhysiciansPediatrics 
208000000X47431AZN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XC1-0010906DEY Allopathic & Osteopathic PhysiciansPediatrics 
208M00000XC1-0010906DEN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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