NPI 1811434533

Haven Stanley Custis, RRTNPS

Practitioner Registered Respiratory Therapist Dover, DE

Practice location

Address: 640 S State St, Dover, DE 19901-3530
Phone: (302) 744-6798
Fax: (302) 735-3259
Mailing address: 640 S State St, Dover, DE 19901

Registered specialties

Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence C9-0000166 (DE)

Other Respiratory Therapist, Registered providers in Delaware →

Registry record

NPI: 1811434533
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2017
Record last updated: 20 Jan 2017

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.