Organization Name: | COASTAL PAIN CARE PHYSICIANS, P.A. |
NPI Number: | 1639281298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GABRIEL JOHN SOMORI (MEDICAL DIRECTOR) |
Mailing Address: | 1606 Savannah Rd Suite 1 Lewes |
State: | DE US |
Postal Code: | 199581656 |
Phone Number: | 3026452664 |
Fax Number: | 3026452774 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C1-0006005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |