Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | C1-0013070 | DE |
N | 207RH0002X | Hospice and Palliative Medicine | 293309 | NY |
NPI | 1508277039 |
---|---|
Provider Name | Michael Scott |
First Address | Newark, DE 19713-2049 |
Second Address | Newark, DE 19718-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2014 |
Last Update Date | 11/04/2019 |