Mid-Atlantic Surgical Practice

LBN: Mid-Atlantic Surgical Practice
Mid-Atlantic Surgical Practice is an health care organization with primary practice located at 1500 Shallcross Ave Suite 1-A, Wilmington DE 19806-3037. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mid-Atlantic Surgical Practice can be contacted via phone (302) 652-6050, or through Tayoun, James Joseph via phone (302) 652-6050.

Contact Information

Primary practice address
1500 Shallcross Ave Suite 1-A Wilmington DE 19806-3037
Fax: (302) 652-6053
Website:
Authorized official contact:
Name: Tayoun, James Joseph Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1477007797
LBN Legal business name Mid-Atlantic Surgical Practice
DBA Doing business as
Authorized official Tayoun, James Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2016
Last updated Aug 17th, 2016 - about 9 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 1477007797 NPPES
Delaware MEDICAID 1000035769

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