Mid-Atlantic Surgical Practice

NPI #1477007797 in Wilmington, Delaware

Provider Information

NPI Number: 1477007797
Entity Type: Organization
Organization Name: Mid-Atlantic Surgical Practice
Subpart: Yes (part of a larger organization)
Parent Organization: MID-ATLANTIC SURGICAL PRACTICE
Primary Specialty: Surgery
Enumeration Date: Aug 4, 2016
Last Updated: Aug 17, 2016

Practice Location

Address: 1500 SHALLCROSS AVE
Address 2: SUITE 1-A
City: Wilmington
State: Delaware
ZIP Code: 19806-3037
Phone: (302) 652-6050

Authorized Official

Name: JAMES JOSEPH TAYOUN JR., D.O.
Title: PHYSICAN
Phone: (302) 652-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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