1144255647 NPI number — MARGUERITE THEW MD

Table of content: MARGUERITE THEW MD (NPI 1144255647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144255647 NPI number — MARGUERITE THEW MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THEW
Provider First Name:
MARGUERITE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144255647
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3012
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19804-0012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-224-5678
Provider Business Mailing Address Fax Number:
302-224-2848

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3516 SILVERSIDE RD
Provider Second Line Business Practice Location Address:
19 THE COMMONS
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19810-4932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-478-1213
Provider Business Practice Location Address Fax Number:
302-478-2274
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  CI-0001629 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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