Glenn & Domenick, Md, Pa

LBN: Eden Hill Surgical Group
Glenn & Domenick, Md, Pa is an health care organization with primary practice located at 200 Banning St Suite 310, Dover DE 19904-3485. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Eden Hill Surgical Group can be contacted via phone (302) 735-8850, or through Feuerstein, Brandt J via phone (302) 735-8850.

Contact Information

Primary practice address
200 Banning St Suite 310 Dover DE 19904-3485
Phone: (302) 735-8850
Fax: (302) 735-8851
Website:
Map and Directions
Authorized official contact:
Name: Feuerstein, Brandt J Doctor of Medicine (MD)
Phone: (302) 735-8850

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C1-0003052 Delaware

Profile Details

NPI number 1487628673
LBN Legal business name Eden Hill Surgical Group
DBA Doing business as Glenn & Domenick, Md, Pa
Authorized official Feuerstein, Brandt J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487628673 NPPES
Delaware MEDICAID 0000891702

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