Provider Demographics
NPI:1184735748
Name:SEACOAST ENDOCRINOLOGY PA
Entity type:Organization
Organization Name:SEACOAST ENDOCRINOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REETU
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-537-8500
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:DE
Mailing Address - Zip Code:19969-0163
Mailing Address - Country:US
Mailing Address - Phone:302-537-8500
Mailing Address - Fax:
Practice Address - Street 1:609 ATLANTIC AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6712
Practice Address - Country:US
Practice Address - Phone:302-537-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006874207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty