State of Delaware
NPI #1114512068 in New Castle, Delaware
Provider Information
- NPI Number
- 1114512068
- Entity Type
- Organization
- Organization Name
- State of Delaware
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF DELAWARE
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Mar 3, 2021
- Last Updated
- Mar 3, 2021
Practice Location
- Address
- 660 BAYLOR BLVD
- City
- New Castle
- State
- Delaware
- ZIP Code
- 19720-1140
- Phone
- (302) 577-3004
Authorized Official
- Name
- DR. AWELE N. MADUKA-EZEH
- Title
- MEDICAL DIRECTOR
- Phone
- (302) 739-5601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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