Fedalen, Paul A

Fedalen, Paul A is an individual health care provider with primary practice located at 540 S Governors Ave Ste 101A , Dover DE 19904-3530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fedalen, Paul A can be contacted via phone (302) 744-7980.

Contact Information

Primary practice address
540 S Governors Ave Ste 101A Dover DE 19904-3530
Phone: (302) 744-7980
Fax: (302) 744-7989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C1-0007342 Delaware

Profile Details

NPI number 1538151741
LBN Legal business name Fedalen, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538151741 NPPES
Delaware MEDICAID 1000032899

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