Basic Information
| Provider Information | |||||||||
| NPI: | 1740316678 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OGDEN | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | PATRICK | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 OLIVINE CIR | ||||||||
| Address2: | |||||||||
| City: | TOWNSEND | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197342007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024495648 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1401 FOULK RD | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198032763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024773300 | ||||||||
| FaxNumber: | 3024773311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C7-0003210 | DE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.