Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | C2-0023967 | DE |
NPI | 1285095265 |
---|---|
Provider Name | Dr. Matthew P Debo |
First Address | Dover, DE 19901-3530 |
Second Address | Dover, DE 19901-3562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2016 |
Last Update Date | 15/12/2021 |