Provider Demographics
NPI:1679632558
Name:CHRISTIANA CARE
Entity type:Organization
Organization Name:CHRISTIANA CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-428-4250
Mailing Address - Street 1:100 S. MAIN ST.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977
Mailing Address - Country:US
Mailing Address - Phone:302-659-4545
Mailing Address - Fax:
Practice Address - Street 1:1001 SEWELL BRANCH ROAD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:DE
Practice Address - Zip Code:19938
Practice Address - Country:US
Practice Address - Phone:302-981-9931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000201282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital