Doctor Name: | DR. MATTHEW D. DI GUGLIELMO |
NPI Number: | 1033254396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | C10008229 |
Business Practice Address: | A.i. Dupont Hospital For Children 1600 Rockland Road Wilmington, DE - 198033607 |
Business Phone Number: | 3026514000 |
Business Fax Number: | 3026514945 |
Mailing Address: | Po Box 191, Provider Enrollment ROCKLAND |
State: | DE |
Postal Code: | 197320191 |
Phone Number: | 3026516212 |
Fax Number: | 3026514945 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C10008229 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |