NPI 1114512068

State of Delaware

Organisation Prison Health Clinic/Center New Castle, DE

Practice location

Address: 660 Baylor Blvd, New Castle, DE 19720-1140
Phone: (302) 577-3004
Mailing address: 245 McKee Rd, Dover, DE 19904-2232

Authorised official

Name: Awele N. Maduka-Ezeh
Title: Medical Director
Phone: (302) 739-5601

Registered specialties

Prison Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2400X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1114512068
Entity type: Organization
NPI issued: 3 Mar 2021
Record last updated: 3 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.