Basic Information
| Provider Information | |||||||||
| NPI: | 1063572519 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBANI | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4755 OGLETOWN STANTON ROAD | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027331487 | ||||||||
| FaxNumber: | 3027335625 | ||||||||
| Practice Location | |||||||||
| Address1: | 4755 OGLETOWN - STANTON ROAD | ||||||||
| Address2: | SUITE 1E10 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027331487 | ||||||||
| FaxNumber: | 3027331888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 01/30/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | C1-008357 | DE | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085N0700X | C1-008357 | DE | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 174400000X | C1-0008357 | DE | N | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | P00411962 | 01 | RAILROAD MEDICARE # | OTHER | 1063572519 | 05 | DE | MEDICAID |