Ivps of Delaware

NPI #1689031262 in Wilmington, Delaware

Provider Information

NPI Number: 1689031262
Entity Type: Organization
Organization Name: Ivps of Delaware
Primary Specialty: Specialist
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 1305 KIRKWOOD HIGHWAY
City: Wilmington
State: Delaware
ZIP Code: 19805
Phone: (302) 994-6575

Authorized Official

Name: JENEANE WAKULA
Title: OFFICE MANAGER
Phone: (772) 546-9591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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