NPI 1982131173

Dimitrios Moustakas, DPM

Practitioner Podiatrist Smyrna, DE

Practice location

Address: 315 N Carter Rd, Smyrna, DE 19977-1282
Phone: (302) 730-4366
Fax: (302) 730-0231
Mailing address: 640 S. State St Mail Code 3055, Dover, DE 19901-3530

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence E1-0000263 (DE)

Other Podiatrist providers in Delaware →

Registry record

NPI: 1982131173
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2017
Record last updated: 28 Oct 2024

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.