Egnm LLC

NPI #1275642480 in Lewes, Delaware

Provider Information

NPI Number
1275642480
Entity Type
Organization
Organization Name
Egnm LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 30, 2006
Last Updated
Mar 13, 2020

Practice Location

Address
17015 OLD ORCHARD ROAD
Address 2
UNIT 4
City
Lewes
ZIP Code
19958
Phone
(302) 644-3466

Authorized Official

Name
EDMUND THOMAS CARROLL III, DO
Title
OWNER/DIRECTOR
Phone
(302) 644-3311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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