Basic Information
| Provider Information | |||||||||
| NPI: | 1144589037 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALETTA SWANK | ||||||||
| FirstName: | ELEANORE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 BUTTERNUT HOLLOW | ||||||||
| Address2: | |||||||||
| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06830 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2023023127 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4755 OGLETOWN-STANTON RD | ||||||||
| Address2: | CHRISTIANA HOSPITAL STE 2A00 | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027331042 | ||||||||
| FaxNumber: | 3027331068 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2012 | ||||||||
| LastUpdateDate: | 10/09/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD60546896 | WA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.