First State Ent Association INC

NPI #1497137491 in Newark, Delaware

Provider Information

NPI Number: 1497137491
Entity Type: Organization
Organization Name: First State Ent Association INC
Primary Specialty: Otolaryngology
Enumeration Date: Jun 25, 2015
Last Updated: Jun 6, 2016

Practice Location

Address: 774 CHRISTIANA ROAD
Address 2: NEUROSCIENCE BUILDING STE B4
City: Newark
State: Delaware
ZIP Code: 19713-4236
Phone: (302) 266-2449

Authorized Official

Name: DR. JAGDEEP S HUNDAL, M.D.
Title: OWNER
Phone: (302) 266-9166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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