Organization Name: | FIRST STATE INFECTIOUS DISEASE SPECIALISTS LLC |
NPI Number: | 1124214044 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIRSTEN ANDREA HAUER (PHYSICIAN) |
Mailing Address: | 3301 Lancaster Pike Suite 9 Wilmington |
State: | DE US |
Postal Code: | 198051436 |
Phone Number: | 3026612303 |
Fax Number: | 3026612324 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | TP0003432 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |