Basic Information
| Provider Information | |||||||||
| NPI: | 1558000919 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DHP OF DELAWARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 631775 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452631775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543772909 | ||||||||
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| Practice Location | |||||||||
| Address1: | 801 MIDDLEFORD RD | ||||||||
| Address2: | |||||||||
| City: | SEAFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199733636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026296611 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2022 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| AuthorizedOfficialLastName: | ARAGONESES | ||||||||
| AuthorizedOfficialFirstName: | ADA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROVIDER ENROLLMENT DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9543772909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MBA | ||||||||
| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.