Provider First Line Business Practice Location Address:
640 S STATE ST
Provider Second Line Business Practice Location Address:
BAYHEALTH MEDICAL CENTER/DEPARTMENT OF ANESTHESIA
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19901-3530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-744-7089
Provider Business Practice Location Address Fax Number:
302-735-3239
Provider Enumeration Date:
02/24/2006