NPI 1700554946

Dih Camp

Organisation General Practice Physician Middletown, DE

Practice location

Address: 272 Carter Dr STE 120, Middletown, DE 19709-5850
Phone: (302) 378-5110
Fax: (302) 376-6517
Mailing address: 421 E Main St STE 6, Middletown, DE 19709-1463

Authorised official

Name: Trevor Kent Ennis
Title: President
Phone: (302) 290-5552

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Delaware →

Registry record

NPI: 1700554946
Entity type: Organization
NPI issued: 2 Sep 2021
Record last updated: 13 Jun 2022

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.